Orbital Roof Fracture Repair

Approaches include extracranial intracranial and endonasal endoscopic.

Orbital roof fracture repair.

However the fractured orbital bones take a longer time to heal. Fixation of most materials in the orbital roof is achieved by the use of one or more screws. Most can be safely observed. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

In addition to the formal ophthalmic exam a complete orbital exam is required. Alternatively matrix midface screws can be used. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Fixation of orbital reconstruction material varies with the type and nature of the fracture.

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. If significant globe trauma is identified i e. 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. Treating the fracture eye socket fractures don t always require surgery.

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. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. The approach used is determined by the surgical needs of the patient. Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe.

Rates of open globe in with orbital roof fracture range from 4 9 5. The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired. 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. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.

Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. The healing time of orbital fracture depends on the severity and location of the fracture.