Orbital Roof Fractures

Isolated orbital roof fractures in adults are uncommon comprising 12 19 of all orbital wall fractures.

Orbital roof fractures.

Might have intracranial lesions csf rhinorrhea pneumocephalus. This frequently causes downward and forward displacement of the globe. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. Most roof fractures are associated with other orbital fractures and result from significant head trauma as a high degree of force is required to fracture this portion of the orbit.

The following pages provide general information regarding orbital anatomy and dissection. He underwent a supraorbital craniotomy for removal of the bony fragment and. After review 159 patients 11 percent were found to have true orbital roof fractures with 36 percent being comminuted. Look for csf rhinorrhea cartoid cavernous cc fistula.

It s called a tripod fracture or a zygomaticomaxillary complex zmc fracture. A common type of orbital rim fracture involves all three major parts of the eye socket. Six patients 10 percent required operative repair of the orbital roof all of whom had a dural laceration and cerebrospinal fluid leak. Fractures of the orbital roof typically require a significant amount of force.

Sagittal slices hard tissue window of an isolated right orbital roof fracture. Coronal slices hard tissue window of the same isolated right orbital roof fracture. The approach used is determined by the surgical needs of the patient. Orbital roof fracture icd 801 01 etiology.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Concomitant craniofacial skeletal fractures were common 87 percent as were ophthalmologic injuries 47 percent and traumatic brain injury with intracranial hemorrhage 65 percent. When the inner table of the orbital roof is not involved and there is no dural tear the orbital fracture can be accessed by superior orbitotomy. Approaches include extracranial intracranial and endonasal endoscopic.

Once the orbital floor is exposed periorbital dissection is performed. Case report a 22 year old man involved in a motor vehicle accident developed a blowout fracture of the left orbital roof penetrating the frontal lobe inducing oculorrhea. A total of 1484 pediatric patients carried the diagnoses of orbital fracture or anterior skull base fracture. When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.