Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture.
Orbital roof fracture surgery.
In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a.
An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.
Access to the roof may be gained through a superior lid crease approach.
Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.
Most can be safely observed.
Levator dysfunction are seen surgery may be required.
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.
When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.
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.
Surgical intervention in the case of isolated orbital roof fractures is uncommon.
Approaches include extracranial intracranial and endonasal endoscopic.
Surgery for orbital.
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.
However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.
Treating the fracture eye socket fractures don t always require surgery.
If signs of muscle entrapment e g.
More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.
Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.
The approach used is determined by the surgical needs of the patient.
Orbital roof fractures are frequently associated with a high energy impact to the craniofacial region and displaced orbital roof fractures can cause ophthalmic and neurologic complications and occasionally require open surgical intervention.
The following pages provide general information regarding orbital anatomy and dissection.
Titanium meshes and bone grafts are radiopaque.
