Orbital Roof Fracture Repair

Rates of open globe in with orbital roof fracture range from 4 9 5.

Orbital roof fracture repair.

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. The healing time of orbital fracture depends on the severity and location of the fracture. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe.

Fixation of most materials in the orbital roof is achieved by the use of one or more screws. After neurologic repair the displaced orbital roof bone fragments were removed and optic nerve decompression was performed when a bone fragment compressed the optic nerve. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.

In majority of the cases of orbital fracture the discoloration and swelling begin to subside within a week to 10 days after the injury has occurred. The approach used is determined by the surgical needs of the patient. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. However the fractured orbital bones take a longer time to heal.

Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos. Approaches include extracranial intracranial and endonasal endoscopic. Fixation of orbital reconstruction material varies with the type and nature of the fracture. Treating the fracture eye socket fractures don t always require surgery.

In addition to the formal ophthalmic exam a complete orbital exam is required. Alternatively matrix midface screws can be used. Most can be safely observed. The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired.

The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. If significant globe trauma is identified i e. Titanium meshes and bone grafts are radiopaque.