Orbital Roof Reconstruction

The diameter depends on anatomical requirements but will normally vary between 1 0 1 3 or 1 5 mm.

Orbital roof reconstruction.

Most roof fractures are associated with other orbital fractures and result from significant head trauma as a high degree of force is required to fracture this portion of the orbit. Reconstruction of orbital walls rims forehead nasoethmoid complex following intra and extracranial excision of benign tumor of cranial bone eg fibrous dysplasia with multiple autografts includes obtaining grafts. Isolated orbital roof fractures in adults are uncommon comprising 12 19 of all orbital wall fractures. Reconstruction of the orbital roof is the key step of the surgical treatment and should be performed in every case.

A coronal incision with frontal craniotomy provides a sufficiently wide exposure for dural repair and orbital roof reconstruction. Fixation of most materials in the orbital roof is achieved by the use of one or more screws. After orbital reconstruction was indicated based on clinical and radiological findings video 1 3 1 the patient was treated with a patient specific orbital implant ips orbit kls martin tuttlingen germany following preparation of a transconjunctival retroseptal approach the patient. Orbital roof fracture icd 801 01 etiology.

The intraoperative technique is standard fronto orbital reconstruction as seen immediately after bony removal f during reconstruction g and at completion of reconstruction h. Alternatively matrix midface screws can be used. Cpt code 21183 in section. Ct anatomy of the orbit.

Porous polyethylene medpor has been used for many years in reconstructive surgeries and it is superior to other allografts in many ways. 1 superior orbital fissure. The latter can be observed in cases where resorbable implants were used or in cases where a thin wafer of silicone or porous polyethylene was used for reconstruction of large orbital wall defects. Fixation of orbital reconstruction material varies with the type and nature of the fracture.

The anterior fossa is exposed extradurally with visualization of the anterior two thirds of the orbital roof. Inadequate insufficient reconstruction of the orbital floor may lead to a hammock shape contour. After completing neurosurgical repair the damaged orbital roof can be reduced and reconstructed. I a postoperative image is seen from a frontal.

4 greater wing of sphenoid. Orbital process of the frontal bone anterior superior portion lesser wing of the sphenoid postero. 2 superior orbital fissure. Zimmerer nils claudius gellrich in facial trauma surgery 2020.