Fracture Of The Orbital Roof

Bilateral orbital roof fractures are rare events usually associated with high energy impact trauma.

Fracture of the orbital roof.

Non displaced isolated blow in isolated blow out or blowup supraorbital rim involvement without frontal. Once the orbital floor is exposed periorbital dissection is performed. The following pages provide general information regarding orbital anatomy and dissection. Approaches include extracranial intracranial and endonasal endoscopic.

The clinical picture is often multiple because of involvement of cranial cerebral and facial injuries. Dural tears are associated with csf leakage and pneumocephalus. Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.

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. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. Coronal slices hard tissue window of the same isolated right orbital roof fracture. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.

Orbital roof fractures are particularly important because of their association with intracranial injury. 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. This frequently causes downward and forward displacement of the globe. The approach used is determined by the surgical needs of the patient.

The primary diagnostic and therapeutic approaches aim to safeguard the cerebral state and to intercept the consequences of severe orbital trauma.