Fractures Orbital Roof And Blowout

Isolated orbital roof fractures in adults are uncommon comprising 12 19 of all orbital wall fractures.

Fractures orbital roof and blowout. 2 topics for discussion. Orbital roof blow out fractures 531 blow out fractures usually involve the floor or medial wall of the orbit. However if the roof of the orbit is thin a blow out fracture can occur upward into the frontal sinus. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket.

Signs and symptoms. Most commonly the inferior orbital wall i e. Inferior blowout fractures are the most common. Orbital injuries warranting surgical intervention are infrequent in the paediatric population but blowout trap door fractures are unique in children and may constitute a relative surgical.

Orbital roof fractures are more common in childhood as the frontal sinus has not yet pneumatised therefore all posterior force to the superior orbital rim is transferred to the anterior cranial base. Orbital floor forms roof of maxillary sinus location of more blow out fractures due to inherent weakness of bone overlying maxillary sinus 13 13. Getting hit with a baseball or a fist often causes a blowout fracture. The floor is likely to collapse because the bones of the roof and lateral walls are robust.

The frontal sinus is often involved. Another mechanism of injury is a blow in fracture where there is an inferiorly directed supraorbital force. Orbital fracturesorbital blowout fractures 1 orbital fractures orbital blowout fractures. Inferior floor medial wall lamina papyracea superior roof lateral wall.

Although the bone forming the medial wall is thinnest it is buttressed by the bone separating the ethmoidal air cells. Different types of blowout fracture. Break in the floor or the orbital socket resulting from a direct blow to the eye. Types of fractures.

The comparatively thin bone of the floor of the orbit. A crack in the very thin bone that makes up these walls can pinch muscles and other structures around the eye keeping the eyeball from moving properly. Two cases of orbital roof blow out fractures are presented including plain films and tomographic findings. Christina gillespie md.

The bony orbit refers to the shell of bone which surrounds and protects the eye. Three important apertures at the apex of bony orbit optic canal superior orbital fissure inferior orbital fissure 14. Fractures orbital roof and blowout caused by a direct blow to the eye. 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.