Fracture Of The Orbital Roof

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. After a thorough. Fractures of the roof of the orbit are typically associated with trauma to the forehead frontal bone are.

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This frequently causes downward and forward displacement of the globe.

Fracture of the orbital roof.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Once the orbital floor is exposed periorbital dissection is performed. Orbital roof fractures 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. When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.

Sagittal slices hard tissue window of an isolated right orbital roof fracture. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. Approaches include extracranial intracranial and endonasal endoscopic. Orbital roof fractures disease entity.

The following pages provide general information regarding orbital anatomy and dissection. Fractures of the orbital roof typically require a significant amount of force. Coronal slices hard tissue window of the same isolated right orbital roof fracture. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.

Most commonly patients will report a recent history of trauma to the head and or face. The approach used is determined by the surgical needs of the patient.

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