Fracture Of The Orbital Roof

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

Fracture of the orbital roof. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. This frequently causes downward and forward displacement of the globe. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.

Approaches include extracranial intracranial and endonasal endoscopic. Once the orbital floor is exposed periorbital dissection is performed. The following pages provide general information regarding orbital anatomy and dissection. Sagittal slices hard tissue window of an isolated right orbital roof fracture.

Orbital roof fractures disease entity. After a thorough. 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.

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. Most commonly patients will report a recent history of trauma to the head and or face.