Orbital Roof Fracture Repair

In addition to the formal ophthalmic exam a complete orbital exam is required.

Orbital roof fracture repair.

An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. Fixation of orbital reconstruction material varies with the type and nature of the fracture.

However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe. Alternatively matrix midface screws can be used. Fixation of most materials in the orbital roof is achieved by the use of one or more screws.

If significant globe trauma is identified i e. The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired. After neurologic repair the displaced orbital roof bone fragments were removed and optic nerve decompression was performed when a bone fragment compressed the optic nerve. 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.

Treating the fracture eye socket fractures don t always require surgery. Most can be safely observed. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon.

In majority of the cases of orbital fracture the discoloration and swelling begin to subside within a week to 10 days after the injury has occurred. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof. Approaches include extracranial intracranial and endonasal endoscopic. The approach used is determined by the surgical needs of the patient.

When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos. The healing time of orbital fracture depends on the severity and location of the fracture.