Orbital Roof Fracture Radiology

Communited mildly depressed left orbital roof fracture.

Orbital roof fracture radiology.

Orbital fracture pearls are as follows. Radiological considerations in the setting of orbital roof fracture it is important to fully assess the extent of the fracture including any radiographically apparent concomitant abnormalities. Displaced orbital roof fracture 3. Dr robert foley and assoc prof frank gaillard et al.

The orbital roof is composed of the orbital plate of the frontal bone with a small contribution from the lesser wing of the sphenoid at the apex figures 3 4 and 3 5. Fracture of the left zygomaticomaxillary attachmnet with fracture of the anterior and lateral maxillary walls inferior orbital rim fracture and left maxillary hemosinus. Angulated displaced fractures fragments are seen projecting downwards within the orbit indenting the superior rectus muscle. As an isolated orbital roof fracture is a rare entity it is important to.

Isolated orbital roof fractures in adults are uncommon comprising 12 19 of all orbital wall fractures. Fractures of the orbital roof are usually seen in combination with extension of linear frontal bone fractures or with complex cranial facial fractures including le fort iii naso orbito ethmoidal noe skull base fractures extending into the anterior skull base. Although common in the pediatric population isolated orbital roof fractures can also occasionally occur in an adult fig 13. It is a thin lamina separating the orbit anteriorly from the frontal sinus and posteriorly from the anterior cranial fossa.

Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. The injury can be associated with a violation of the dura necessitating an intracranial approach. When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit. This is typically caused by a direct blow to the central orbit from a fist or ball.