Orbital Roof Fracture Repair

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.

Orbital roof fracture repair.

Fixation of orbital reconstruction material varies with the type and nature of the fracture. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Rates of open globe in with orbital roof fracture range from 4 9 5. Most can be safely observed.

The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired. If significant globe trauma is identified i e. Approaches include extracranial intracranial and endonasal endoscopic. Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe.

However the fractured orbital bones take a longer time to heal. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. In addition to the formal ophthalmic exam a complete orbital exam is required. Alternatively matrix midface screws can be used.

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. 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.

Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. Treating the fracture eye socket fractures don t always require surgery. The approach used is determined by the surgical needs of the patient. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.

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. 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. 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.