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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.
References
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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. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
Fig. 2.
Preoperative radiological finding in Case 2. A. 3-dimensional computed tomography. B. Water's view. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
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. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
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. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
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. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
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. Jae-Yeol Lee et al: Orbital roof and supraorbital ridge fracture: a report of three cases. J Korean Assoc Oral Maxillofac Surg 2011
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