Fracture Of The Orbital Roof

Most commonly the inferior orbital wall i e.

Fracture of the orbital roof.

Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach. The following pages provide general information regarding orbital anatomy and dissection. Isolated non displaced orbital roof fractures most commonly seen in children and rarely require surgical intervention.

Orbital roof fractures are frequently associated with a high energy impact to the craniofacial region and displaced orbital roof fractures can cause ophthalmic and neurologic complications and occasionally require open surgical intervention. This frequently causes downward and forward displacement of the globe. Once the orbital floor is exposed periorbital dissection is performed. Fractures may be limited to the internal orbital skeleton.

This type includes blow out and blow in patterns as seen in isolated fractures of the orbital floor medial wall and roof. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket. 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. The floor is likely to collapse because the bones of the roof and lateral walls are robust.

Sagittal slices hard tissue window of an isolated right orbital roof fracture. 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. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. A 22 year old man who was assaulted with a baseball bat suffered an operative orbital roof blow in fracture and fractures of the medial and lateral orbital walls right frontal bone and sinus and.