Surgery for orbital.
Orbital roof fracture surgery.
Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.
However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.
More commonly titanium meshes porous polyethylene sheets or autologous bone grafts.
Clinical diagnosis is based on meticulous examination of the eye including patient vision and palpation of the orbital aperture.
Access to the roof may be gained through a superior lid crease approach.
When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.
Treatment of orbital fracture if there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for.
The following pages provide general information regarding orbital anatomy and dissection.
Once the orbital floor is exposed periorbital dissection is performed.
If signs of muscle entrapment e g.
Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.
An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.
In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a.
Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon.
Treating the fracture eye socket fractures don t always require surgery.
Titanium meshes and bone grafts are radiopaque.
Levator dysfunction are seen surgery may be required.
Most can be safely observed.
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.
This frequently causes downward and forward displacement of the globe.
Orbital roof fractures are frequently associated with a high energy impact to the craniofacial region and displaced orbital roof fractures can cause ophthalmic and neurologic complications and occasionally require open surgical intervention.
Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.
The approach used is determined by the surgical needs of the patient.
