Fracture Of The Orbital Roof

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. Coronal slices hard tissue window of the same isolated right orbital roof fracture.

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When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.

Fracture of the orbital roof.

The following pages provide general information regarding orbital anatomy and dissection. Orbital roof fractures disease entity. Approaches include extracranial intracranial and endonasal endoscopic. 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. This frequently causes downward and forward displacement of the globe. Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit. Fractures of the roof of the orbit are typically associated with trauma to the forehead frontal bone are.

The approach used is determined by the surgical needs of the patient. 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. 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. Once the orbital floor is exposed periorbital dissection is performed.

Fractures of the orbital roof typically require a significant amount of force. After a thorough.

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