Orbital Roof Fracture Repair

Fixation of orbital reconstruction material varies with the type and nature of the fracture.

Orbital roof fracture repair.

In addition to the formal ophthalmic exam a complete orbital exam is required. Orbital roof fractures are a less common but potentially serious craniofacial injury. Treatment for orbital fracture comprises of surgery in severe cases and ice packs rest and antibiotics in mild fractures. Most can be safely observed.

Ten patients underwent surgery to repair the orbital roof. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Orbital fracture is a breakage in the bone in the eye socket which can involve the rim the floor or even both. 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.

Ruptured globe or retinal detachment orbital surgery is usually postponed due to the increased risk this places on the damaged globe. The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm. Inferior displacement correlated with need for surgical repair p 0 001. 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.

However intracranial or intraorbital injury may warrant surgical intervention to. Fixation of most materials in the orbital roof is achieved by the use of one or more screws. Rates of open globe in with orbital roof fracture range from 4 9 5. If significant globe trauma is identified i e.

Currently there is no specific consensus on the treatment of orbital fractures in the pediatric population 9. Generally speaking pediatric orbital roof fractures are less likely to require surgical repair than their adult counterpart 2 3. In the largest study to date analyzing pediatric orbital roof fractures the authors found that most can be managed conservatively with good long term outcomes. Treating the fracture eye socket fractures don t always require surgery.