Orbital Roof Reconstruction

Isolated orbital roof fractures in adults are uncommon comprising 12 19 of all orbital wall fractures.

Orbital roof reconstruction.

Reconstruction of the orbital roof is the key step of the surgical treatment and should be performed in every case. Alternatively matrix midface screws can be used. Porous polyethylene medpor has been used for many years in reconstructive surgeries and it is superior to other allografts in many ways. The patients were satisfied with the external appearance in conclusion the orbital roof reconstruction using porous polyethylene sheet with embedded titanium was an easy and a time efficient.

Fixation of most materials in the orbital roof is achieved by the use of one or more screws. Inadequate insufficient reconstruction of the orbital floor may lead to a hammock shape contour. Zimmerer nils claudius gellrich in facial trauma surgery 2020. The intraoperative technique is standard fronto orbital reconstruction as seen immediately after bony removal f during reconstruction g and at completion of reconstruction h.

Orbital process of the frontal bone anterior superior portion lesser wing of the sphenoid postero. In our case the orbital roof reconstruction was done by medpor and the early and late. Ct anatomy of the orbit. 4 greater wing of sphenoid.

The anterior fossa is exposed extradurally with visualization of the anterior two thirds of the orbital roof. Reconstruction of orbital walls rims forehead nasoethmoid complex following intra and extracranial excision of benign tumor of cranial bone eg fibrous dysplasia with multiple autografts includes obtaining grafts. Autogenous substances such as the calvarium rib and ilium are difficult to mold to the anatomical contours of. The latter can be observed in cases where resorbable implants were used or in cases where a thin wafer of silicone or porous polyethylene was used for reconstruction of large orbital wall defects.

I a postoperative image is seen from a frontal. Orbital roof fracture icd 801 01 etiology. After orbital reconstruction was indicated based on clinical and radiological findings video 1 3 1 the patient was treated with a patient specific orbital implant ips orbit kls martin tuttlingen germany following preparation of a transconjunctival retroseptal approach the patient. Most roof fractures are associated with other orbital fractures and result from significant head trauma as a high degree of force is required to fracture this portion of the orbit.

The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. After completing neurosurgical repair the damaged orbital roof can be reduced and reconstructed. 2 superior orbital fissure. 1 superior orbital fissure.