In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a.
Orbital roof fracture surgery.
Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture.
Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.
More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.
Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.
Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.
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.
Most can be safely observed.
Access to the roof may be gained through a superior lid crease approach.
Once the orbital floor is exposed periorbital dissection is performed.
The following pages provide general information regarding orbital anatomy and dissection.
Surgery for orbital.
An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.
Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon.
Titanium meshes and bone grafts are radiopaque.
This frequently causes downward and forward displacement of the globe.
When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.
If signs of muscle entrapment e g.
Treating the fracture eye socket fractures don t always require surgery.
Levator dysfunction are seen surgery may be required.
However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.
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.
Surgical intervention in the case of isolated orbital roof fractures is uncommon.
