Orbital blowout fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure.
Orbital roof fracture ct.
Angulated displaced fractures fragments are seen projecting downwards within the orbit indenting the superior rectus muscle.
The following pages provide general information regarding orbital anatomy and dissection.
Exposure of orbital roof fractures is normally via preexisting lacerations upper blepharoplasty incisionsor probably most often via coronal approach.
When they do happen they may be associated with intracranial hemorrhages traumatic optic neuropathy and csf leakage into the orbit.
Communited mildly depressed left orbital roof fracture.
Once the orbital floor is exposed periorbital dissection is performed.
The gold standard for diagnosis of an orbital roof fracture is thin cut coronal ct scanning of the face orbits.
Although sagittal sections are also helpful in some cases the axial images are less so.
This frequently causes downward and forward displacement of the globe.
Sagittal slices hard tissue window of an isolated right orbital roof fracture.
Coronal slices hard tissue window of the same isolated right orbital roof fracture.
The blowout fracture is the most common type of orbital fracture and is usually the result of trauma.
Fracture of the left zygomaticomaxillary attachmnet with fracture of the anterior and lateral maxillary walls inferior orbital rim fracture and left maxillary hemosinus.
Contrast is not needed.
This is reflected in the demographics.