Interdisciplinary Management of Minimally Displaced Orbital Roof Fractures: Delayed Pulsatile Exophthalmos and Orbital Encephalocele

Overview

Journal Craniomaxillofac Trauma Reconstr

Publisher Sage Publications

Date 2017 Feb 18

PMID 28210402

Citations 7

Authors

Austin Y Ha

William Mangham

Sarah A Frommer

David Choi

Petra Klinge

Helena O Taylor

Adetokunbo A Oyelese

Stephen R Sullivan

Affiliations

Soon will be listed here.

Abstract

Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. They are typically associated with severe mechanisms of injury and may be associated with significant neurologic or ophthalmologic compromise including traumatic brain injury and vision loss. Rarely, traumatic encephalocele or pulsatile exophthalmos may be present at the time of injury or develop in delayed fashion, necessitating close observation of these patients. In this article, we describe two patients with minimally displaced blow-in type orbital roof fractures that were later complicated by orbital encephalocele and pulsatile exophthalmos, prompting urgent surgical intervention. We also suggest a management algorithm for adult patients with orbital roof fractures, emphasizing careful observation and interdisciplinary management involving plastic surgery, neurosurgery, and ophthalmology.

Citing Articles

Detection of Abnormal Spontaneous Brain Activity Patterns in Patients With Orbital Fractures Using Fractional Amplitude of Low Frequency Fluctuation.

Kang M, Gao Y, Zhang L, Liang R, Li Q, Shu H Front Neurol. 2022; 13:874158.

PMID: 35911915 PMC: 9326164. DOI: 10.3389/fneur.2022.874158.

Oscillopsia following orbitotomy for intracranial tumor resection.

Goethe E, Hartford J, Foroozan R, Patel A Surg Neurol Int. 2021; 12:459.

PMID: 34621574 PMC: 8492429. DOI: 10.25259/SNI_498_2021.

Reconstruction of Anterior Skull Base Fracture Using Autologous Fractured Fragments: A Simple Stitching-Up Technique.

Seok H, Im S, Hwang S Korean J Neurotrauma. 2021; 17(1):25-33.

PMID: 33981640 PMC: 8093017. DOI: 10.13004/kjnt.2021.17.e7.

Multidisciplinary Treatment of a Pediatric Orbital Roof Fracture: Case Report and Literature Review.

Shihadeh H, Willson T Plast Reconstr Surg Glob Open. 2021; 9(1):e3347.

PMID: 33552811 PMC: 7858246. DOI: 10.1097/GOX.0000000000003347.

Orbital meningocele in two case studies.

Mbaye M, Thiam A, Cissue M, Faye M, Ndiaye S, Thioub M Surg Neurol Int. 2020; 11:119.

PMID: 32494394 PMC: 7265386. DOI: 10.25259/SNI_148_2020.

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