Fracture Of The Orbital Roof

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.

Fracture of the orbital roof.

Approaches include extracranial intracranial and endonasal endoscopic. Sagittal slices hard tissue window of an isolated right orbital roof fracture. There are several different configurations of orbital roof fractures including. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.

Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention. Orbital roof fractures are particularly important because of their association with intracranial injury. The clinical picture is often multiple because of involvement of cranial cerebral and facial injuries. The primary diagnostic and therapeutic approaches aim to safeguard the cerebral state and to intercept the consequences of severe orbital trauma.

This frequently causes downward and forward displacement of the globe. The following pages provide general information regarding orbital anatomy and dissection. Dural tears are associated with csf leakage and pneumocephalus. 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. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. Bilateral orbital roof fractures are rare events usually associated with high energy impact trauma. Coronal slices hard tissue window of the same isolated right orbital roof fracture.

Once the orbital floor is exposed periorbital dissection is performed.