Orbital Roof Reconstruction

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

Orbital roof reconstruction.

4 greater wing of sphenoid. Alternatively matrix midface screws can be used. I a postoperative image is seen from a frontal. Fixation of orbital reconstruction material varies with the type and nature of the fracture.

The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. The intraoperative technique is standard fronto orbital reconstruction as seen immediately after bony removal f during reconstruction g and at completion of reconstruction h. Porous polyethylene medpor has been used for many years in reconstructive surgeries and it is superior to other allografts in many ways. 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. Zimmerer nils claudius gellrich in facial trauma surgery 2020. 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. 1 superior orbital fissure.

The anterior fossa is exposed extradurally with visualization of the anterior two thirds of the orbital roof. 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. Orbital roof fracture icd 801 01 etiology. Cpt code 21183 in section.

Ct anatomy of the orbit. 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. In our case the orbital roof reconstruction was done by medpor and the early and late. After completing neurosurgical repair the damaged orbital roof can be reduced and reconstructed.

Reconstruction of the orbital roof is the key step of the surgical treatment and should be performed in every case. Orbital process of the frontal bone anterior superior portion lesser wing of the sphenoid postero. 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. 2 superior orbital fissure.