Fracture Of The Orbital Roof

Dural tears are associated with csf leakage and pneumocephalus.

Fracture of the orbital roof.

Bilateral orbital roof fractures are rare events usually associated with high energy impact trauma. Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention. The primary diagnostic and therapeutic approaches aim to safeguard the cerebral state and to intercept the consequences of severe orbital trauma. 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.

Sagittal slices hard tissue window of an isolated right orbital roof fracture. Approaches include extracranial intracranial and endonasal endoscopic. The approach used is determined by the surgical needs of the patient. Orbital roof fractures are more common in childhood as the frontal sinus has not yet pneumatised therefore all posterior force to the superior orbital rim is transferred to the anterior cranial base.

Fractures of the roof of the orbit are typically associated with trauma to the forehead frontal bone are are often extensions of superior orbital rim fractures. The following pages provide general information regarding orbital anatomy and dissection. Once the orbital floor is exposed periorbital dissection is performed. Non displaced isolated blow in isolated blow out or blowup supraorbital rim involvement without frontal.

Orbital roof fractures are particularly important because of their association with intracranial injury. Coronal slices hard tissue window of the same isolated right orbital roof fracture. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. The clinical picture is often multiple because of involvement of cranial cerebral and facial injuries.

Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.