Orbital Roof Fracture Management

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.

Orbital roof fracture management.

Mazzoli highlighted this contingency in children because roof fractures are much more common for them than for adults. Even in the context of floor fractures dr. The approach used is determined by the surgical needs of the patient. In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient.

Most can be safely observed. Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates. Approaches include extracranial intracranial and endonasal endoscopic. That s because they go headfirst over handlebars and tend to do a forehead plant.

An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. A ct may already be appropriate due to a mechanism of injury or red flags for a head injury. Investigation of orbital fractures is by x ray and ct with ct being the modality of choice though it can be unreliable in children with blowout fractures. Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases.

However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Another potential emergency involves the roof not the floor of the orbit.