Fracture Of The Orbital Roof

Once the orbital floor is exposed periorbital dissection is performed.

Fracture of the orbital roof.

The approach used is determined by the surgical needs of the patient. This frequently causes downward and forward displacement of the globe. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. The primary diagnostic and therapeutic approaches aim to safeguard the cerebral state and to intercept the consequences of severe orbital trauma.

Coronal slices hard tissue window of the same isolated right orbital roof fracture. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. There are several different configurations of orbital roof fractures including. Dural tears are associated with csf leakage and pneumocephalus.

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. Fractures of the roof of the orbit are typically associated with trauma to the forehead frontal bone are are often extensions of superior orbital rim fractures. The clinical picture is often multiple because of involvement of cranial cerebral and facial injuries. Orbital roof fractures are more common in childhood as the frontal sinus has not yet pneumatised therefore all posterior force to the superior orbital rim is transferred to the anterior cranial base.

Non displaced isolated blow in isolated blow out or blowup supraorbital rim involvement without frontal. Orbital roof fractures are particularly important because of their association with intracranial injury. Sagittal slices hard tissue window of an isolated right orbital roof fracture. Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention.

Bilateral orbital roof fractures are rare events usually associated with high energy impact trauma.