Fracture Of The Orbital Roof

The approach used is determined by the surgical needs of the patient. The clinical picture is often multiple because of involvement of cranial cerebral and facial injuries. Approaches include extracranial intracranial and endonasal endoscopic.

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This Exhibit Depicts Anterior Fractures Of The Skull With A Subsequent Left Craniotomy And Repairs Pre Operatively Medical Illustration Medical Art Sinusitis

This Exhibit Depicts Anterior Fractures Of The Skull With A Subsequent Right Craniotomy And Repairs Pre Operatively Medical Illustration Medical Art Medical

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Blow Out Fracture The Most Common Portion Of The Orbit To Sustain A Fracture Is The Weak Floor And This Injury If Occurring In Isolation M

Coronal slices hard tissue window of the same isolated right orbital roof fracture.

Fracture of the orbital roof.

Orbital roof fractures are particularly important because of their association with intracranial injury. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. The primary diagnostic and therapeutic approaches aim to safeguard the cerebral state and to intercept the consequences of severe orbital trauma. 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.

Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention. Once the orbital floor is exposed periorbital dissection is performed. The following pages provide general information regarding orbital anatomy and dissection. 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.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Non displaced isolated blow in isolated blow out or blowup supraorbital rim involvement without frontal. Sagittal slices hard tissue window of an isolated right orbital roof fracture. Bilateral orbital roof fractures are rare events usually associated with high energy impact trauma.

Dural tears are associated with csf leakage and pneumocephalus. There are several different configurations of orbital roof fractures including. 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.

Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force.

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