Approaches include extracranial intracranial and endonasal endoscopic.
Fracture of the orbital roof.
Most orbital roof fractures are blow in fractures displacement of the bone is towards the orbit.
Coronal slices hard tissue window of the same isolated right orbital roof fracture.
Fractures of the roof of the orbit are typically associated with trauma to the forehead frontal bone are.
Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force.
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.
Sagittal slices hard tissue window of an isolated right orbital roof fracture.
Most commonly patients will report a recent history of trauma to the head and or face.
Fractures of the orbital roof typically require a significant amount of force.
Once the orbital floor is exposed periorbital dissection is performed.
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.
This frequently causes downward and forward displacement of the globe.
When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.
After a thorough.
The approach used is determined by the surgical needs of the patient.