Orbital Roof Fracture Repair

Alternatively matrix midface screws can be used.

Orbital roof fracture repair.

Approaches include extracranial intracranial and endonasal endoscopic. The healing time of orbital fracture depends on the severity and location of the fracture. However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm.

Most can be safely observed. 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. Fixation of orbital reconstruction material varies with the type and nature of the fracture. 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.

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. Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe. Fixation of most materials in the orbital roof is achieved by the use of one or more screws.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. However the fractured orbital bones take a longer time to heal. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. 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.

Treating the fracture eye socket fractures don t always require surgery. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Titanium meshes and bone grafts are radiopaque. Rates of open globe in with orbital roof fracture range from 4 9 5.

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. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.