Orbital Roof Fracture Repair

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.

Orbital roof fracture repair.

Alternatively matrix midface screws can be used. The healing time of orbital fracture depends on the severity and location of the fracture. The approach used is determined by the surgical needs of the patient. 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.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Rates of open globe in with orbital roof fracture range from 4 9 5. Most can be safely observed.

The orbital roofs were reconstructed using three dimensionally fabricated titanium micromesh plates and microscrews and the associated fractures were then repaired. 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. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. However the fractured orbital bones take a longer time to heal. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.

In addition to the formal ophthalmic exam a complete orbital exam is required. 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. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care. Treating the fracture eye socket fractures don t always require surgery.

Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe. Titanium meshes and bone grafts are radiopaque. However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site.