Early Reconstruction of Orbital Roof Fractures:
Background Orbital roof fractures are frequently associated with a high energy impactto the craniofacial region, and displaced orbital roof fractures can cause ophthalmic andneurologic complications and occasionally require open surgical intervention. The purposeof this article was to investigate th...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-01-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-31.pdf |
| _version_ | 1828352979408781312 |
|---|---|
| author | Han Koo Kim Jin Woo Kim Tae Hui Bae Woo Seob Kim |
| author_facet | Han Koo Kim Jin Woo Kim Tae Hui Bae Woo Seob Kim |
| author_sort | Han Koo Kim |
| collection | DOAJ |
| description | Background Orbital roof fractures are frequently associated with a high energy impactto the craniofacial region, and displaced orbital roof fractures can cause ophthalmic andneurologic complications and occasionally require open surgical intervention. The purposeof this article was to investigate the clinical features and treatment outcomes of orbital rootfractures combined with neurologic injuries after early reconstruction.Methods Between January 2006 and December 2008, 45 patients with orbital roof fractureswere admitted; among them, 37 patients were treated conservatively and 8 patientsunderwent early surgical intervention for orbital roof fractures. The type of injuries thatcaused the fractures, patient characteristics, associated fractures, ocular and neurologicalinjuries, patient management, and treatment outcomes were investigated.Results The patients underwent frontal craniotomy and free bone fragment removal, theirorbital roofs were reconstructed with titanium micromesh, and associated fractures wererepaired. The mean follow up period was 11 months. There were no postoperative neurologicsequelae. Postoperative computed tomography scans showed anatomically reconstructedorbital roofs. Two of the five patients with traumatic optic neuropathy achieved full visualacuity recovery, one patient showed decreased visual acuity, and the other two patientscompletely lost their vision due to traumatic optic neuropathy. Preoperative ophthalmicsymptoms, such as proptosis, diplopia, upper eyelid ptosis, and enophthalmos were corrected.Conclusions Early recognition and treatment of orbital roof fractures can reduce intracranialand ocular complications. A coronal flap with frontal craniotomy and orbital roofreconstruction using titanium mesh provides a versatile method and provides good functionaland cosmetic results. |
| first_indexed | 2024-04-14T02:01:13Z |
| format | Article |
| id | doaj.art-4010ced7b2874c5c897766b1a9168dc4 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T02:01:13Z |
| publishDate | 2012-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-4010ced7b2874c5c897766b1a9168dc42022-12-22T02:18:49ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-01-013913135Early Reconstruction of Orbital Roof Fractures:Han Koo KimJin Woo KimTae Hui BaeWoo Seob KimBackground Orbital roof fractures are frequently associated with a high energy impactto the craniofacial region, and displaced orbital roof fractures can cause ophthalmic andneurologic complications and occasionally require open surgical intervention. The purposeof this article was to investigate the clinical features and treatment outcomes of orbital rootfractures combined with neurologic injuries after early reconstruction.Methods Between January 2006 and December 2008, 45 patients with orbital roof fractureswere admitted; among them, 37 patients were treated conservatively and 8 patientsunderwent early surgical intervention for orbital roof fractures. The type of injuries thatcaused the fractures, patient characteristics, associated fractures, ocular and neurologicalinjuries, patient management, and treatment outcomes were investigated.Results The patients underwent frontal craniotomy and free bone fragment removal, theirorbital roofs were reconstructed with titanium micromesh, and associated fractures wererepaired. The mean follow up period was 11 months. There were no postoperative neurologicsequelae. Postoperative computed tomography scans showed anatomically reconstructedorbital roofs. Two of the five patients with traumatic optic neuropathy achieved full visualacuity recovery, one patient showed decreased visual acuity, and the other two patientscompletely lost their vision due to traumatic optic neuropathy. Preoperative ophthalmicsymptoms, such as proptosis, diplopia, upper eyelid ptosis, and enophthalmos were corrected.Conclusions Early recognition and treatment of orbital roof fractures can reduce intracranialand ocular complications. A coronal flap with frontal craniotomy and orbital roofreconstruction using titanium mesh provides a versatile method and provides good functionaland cosmetic results.http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-31.pdfOrbital fracturePostoperative complicationOptic nerve |
| spellingShingle | Han Koo Kim Jin Woo Kim Tae Hui Bae Woo Seob Kim Early Reconstruction of Orbital Roof Fractures: Archives of Plastic Surgery Orbital fracture Postoperative complication Optic nerve |
| title | Early Reconstruction of Orbital Roof Fractures: |
| title_full | Early Reconstruction of Orbital Roof Fractures: |
| title_fullStr | Early Reconstruction of Orbital Roof Fractures: |
| title_full_unstemmed | Early Reconstruction of Orbital Roof Fractures: |
| title_short | Early Reconstruction of Orbital Roof Fractures: |
| title_sort | early reconstruction of orbital roof fractures |
| topic | Orbital fracture Postoperative complication Optic nerve |
| url | http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-31.pdf |
| work_keys_str_mv | AT hankookim earlyreconstructionoforbitalrooffractures AT jinwookim earlyreconstructionoforbitalrooffractures AT taehuibae earlyreconstructionoforbitalrooffractures AT wooseobkim earlyreconstructionoforbitalrooffractures |