Orbital Roof Fracture Management

Most can be safely observed.

Orbital roof fracture management.

Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. The approach used is determined by the surgical needs of the patient. Even in the context of floor fractures dr.

Another potential emergency involves the roof not the floor of the orbit. Management of orbital roof fractures varies based on individual clinical features including the presence of exophthalmos gaze restriction and concomitant injuries such as dural tears. Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. Mazzoli highlighted this contingency in children because roof fractures are much more common for them than for adults.

Nondisplaced or minimally displaced orbital roof fractures are usually managed by observation but displaced orbital roof fractures can cause ophthalmic and neurologic complications and open surgical intervention is occasionally required. A ct may already be appropriate due to a mechanism of injury or red flags for a head injury. That s because they go headfirst over handlebars and tend to do a forehead plant. Approaches include extracranial intracranial and endonasal endoscopic.

In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.