Orbital Roof Fracture Repair

The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm.

Orbital roof fracture repair.

However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. 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. If significant globe trauma is identified i e. Rates of open globe in with orbital roof fracture range from 4 9 5.

Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe. The approach used is determined by the surgical needs of the patient. Fracture to the orbital roof may require consultation with a neurologist or neurosurgeon. However intracranial or intraorbital injury may warrant surgical intervention to remove impinging bony fragments repair dura or reconstruct the orbital roof.

When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. In addition to the formal ophthalmic exam a complete orbital exam is required. Approaches include extracranial intracranial and endonasal endoscopic. 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. 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. The healing time of orbital fracture depends on the severity and location of the fracture. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.

More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. However the fractured orbital bones take a longer time to heal. Treating the fracture eye socket fractures don t always require surgery. An interdisciplinary approach with plastic surgery ophthalmology and neurosurgery is crucial to providing comprehensive care.

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. Alternatively matrix midface screws can be used. Titanium meshes and bone grafts are radiopaque.