Title: Reconstruction of Orbital Roof Fracture using Titanium Mesh- Case Report and Review of Literature
Authors: Dr Rangnath Jhawar, Dr Nakul Parasharami, Dr Kapil Das, Dr Sudhanshu Joshi
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.134
Abstract
Orbital roof fractures are frequently associated with high energy impact to the craniofacial region. Displaced orbital roof fractures can cause ophthalmic and neurological complications, occasionally requiring open surgical intervention. Orbital roof fractures are more common in males due to automobile accidents. Early diagnosis of this condition and prompt intervention is critical in the management because any delay can cause loss of vision secondary to optic nerve involvement. Urgent ophthalmic evaluation is important to know visual acuity and assess for optic nerve injury or oedema, retrobulbar haemorrhage, retinal detachment and intraorbital emphysema. Computed tomography with reconstructed images is the investigation of choice. We report a rare case of isolated right orbital roof fracture. The fracture was an isolated blow in fracture with the fractured segment impinging on the globe. Reconstruction of the orbital roof was performed using an extra cranial approach to elevate the fracture with a titanium mesh to stabilise the fragment. The case report is followed by a brief overview of orbital roof fractures including pertinent review of literature.
Key Words- Roof of orbit, fracture, titanium mesh, extracranial approach.
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