Orbital Roof Fracture Radiology

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.

Orbital roof fracture radiology.

It is a thin lamina separating the orbit anteriorly from the frontal sinus and posteriorly from the anterior cranial fossa. A orbital fractures can occur in isolation or with other fracture patterns. This is typically caused by a direct blow to the central orbit from a fist or ball. Communited mildly depressed left orbital roof fracture.

Although common in the pediatric population isolated orbital roof fractures can also occasionally occur in an adult fig 13. 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. 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. Angulated displaced fractures fragments are seen projecting downwards within the orbit indenting the superior rectus muscle.

Displaced orbital roof fracture 3. Dr robert foley and assoc prof frank gaillard et al. Orbital roof fracture icd 801 01 etiology. Orbital fracture pearls are as follows.

The injury can be associated with a violation of the dura necessitating an intracranial approach. As an isolated orbital roof fracture is a rare entity it is important to. Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.