Journal List > J Korean Assoc Oral Maxillofac Surg > v.37(6) > 1032514

J Korean Assoc Oral Maxillofac Surg. 2011 Dec;37(6):524-529. Korean.
Published online December 27, 2011.  https://doi.org/10.5125/jkaoms.2011.37.6.524
Copyright © 2011 by The Korean Association of Oral and Maxillofacial Surgeons
Orbital roof and supraorbital ridge fracture: a report of three cases
Jae-Yeol Lee, Sung-Tak Lee, Yong-Deok Kim, Sang-Hun Shin, Uk-Kyu Kim, In-Kyo Chung and Dae-Seok Hwang
Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea.

Corresponding author: Dae-Seok Hwang. Department of Oral and Maxillofacial Surgery, Pusan National University Hospital, 3-3, Beomeo-ri, Mulgeum-eup, Yangsan 626-770, Korea. TEL: +82-55-360-5103, FAX: +82-55-360-5104, Email: dshwang@pusan.ac.kr
Received July 19, 2011; Revised August 30, 2011; Accepted October 12, 2011.

Abstract

Orbital roof and supraorbital ridge fractures are frequently associated with high energy concomitant craniofacial trauma. When a displacement of the orbital roof and supraorbital rim occurs, exploration, stabilization and reconstruction are warranted to limit the ocular complications. The management of fractures involving the frontal sinus must consider the possible need for obliteration or cranialization of the sinus. Many incisions have been described and used to approach these fractures, such as a coronal incision, eyebrow incision, and an incision through the laceration. We report 3 cases of orbital roof and supraorbital ridge fracture patients with a review of the relevant literature.

Keywords: Orbital fractures; Case reports

Figures


Fig. 1
A. Exposure to the supraorbital rim fracture was afforded through the laceration without the need for additional incisions. B. Preoperative computed tomography in Case 1.
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Fig. 2
Preoperative radiological finding in Case 2. A. 3-dimensional computed tomography. B. Water's view.
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Fig. 3
A. Preoperative photograph in Case 2. B. Postoperative photograph. Note the proper position of the globe subsequent to reduction. C. Postoperative Water's view.
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Fig. 4
Preoperative radiological finding in Case 3. A. Coronal view of computed tomography (CT). B. Reformatted sagittal view of CT. C. 3-dimensional CT.
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Fig. 5
Intraoperative photograph of the reconstructed right orbital roof in Case 3. The Medpor (arrow) sheet has been fashioned into shape which reconstitutes the natural curve of orbital roof.
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Fig. 6
Postoperative radiological finding in Case 3. A. Coronal view of computed tomography (CT). B. Reformatted sagittal view of CT. C. 3-dimensional CT.
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Tables


Table 1
Classification of orbital roof fractures
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