Orbital Roof Fracture Management

That s because they go headfirst over handlebars and tend to do a forehead plant. 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. Even in the context of floor fractures dr.

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Figure 1 From Natural Course Of Orbital Roof Fractures Semantic Scholar

Figure 4 From Reconstruction Of Orbital Roof Fracture Using Titanium Mesh Case Report And Review Of Literature Semantic Scholar

Nondisplaced or minimally displaced orbital roof fractures are usually managed by observation but displaced orbital roof fractures can cause ophthalmic and neurologic complications and open surgical intervention is occasionally required.

Orbital roof fracture management.

In cases of minor isolated orbital roof fractures where no surgical intervention is needed the patient. Most can be safely observed. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. Approaches include extracranial intracranial and endonasal endoscopic.

The approach used is determined by the surgical needs of the patient. Mazzoli highlighted this contingency in children because roof fractures are much more common for them than for adults. A ct may already be appropriate due to a mechanism of injury or red flags for a head injury. 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.

Another potential emergency involves the roof not the floor of the orbit. Surgically bicoronal approaches were performed most commonly along with reconstruction utilizing titanium miniplates. 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. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. After a thorough ophthalmic exam and after other trauma has been ruled out the patient and physician.

Diagnosis And Imaging Of Orbital Roof Fractures A Review Of The Current Literature Semantic Scholar

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