Orbital Roof Fracture Ct

Angulated displaced fractures fragments are seen projecting downwards within the orbit indenting the superior rectus muscle.

Orbital roof fracture ct.

Once the orbital floor is exposed periorbital dissection is performed. Orbital blowout fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure. Communited mildly depressed left orbital roof fracture. Contrast is not needed.

This is reflected in the demographics. Although sagittal sections are also helpful in some cases the axial images are less so. Fracture of the left zygomaticomaxillary attachmnet with fracture of the anterior and lateral maxillary walls inferior orbital rim fracture and left maxillary hemosinus. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.

Sagittal slices hard tissue window of an isolated right orbital roof fracture. It is more prevalent in young men. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.

The gold standard for diagnosis of an orbital roof fracture is thin cut coronal ct scanning of the face orbits. The ultimate diagnosis is made by computed tomography ct of the face. The following pages provide general information regarding orbital anatomy and dissection.