Abstract
Isolated adult orbital roof fractures are uncommon, and the majority of them are typically associated with extensive craniofacial, ophthalmologic, and other body injuries. It is crucial to make an appropriate diagnosis of orbital roof fracture if present. Therefore, the aim of this article was to review the current literature about diagnosis and imaging of orbital roof fracture to obtain current indications. A systematic review of articles published between January 1990 and August 2013 was performed. Early diagnosis of orbital roof fractures can reduce the incidences of intracranial and ocular complications. CT scan still plays a major role in the assessment of acute orbital trauma. Careful assessment and reporting of the CT scan findings are important. In fact, the clinicians managing the patient with acute head and facial trauma should be familiar with the common findings of CT scan in case of an orbital roof fracture.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Caranci F, Cicala D, Cappabianca S, Briganti F, Brunese L, Fonio P (2012) Orbital fractures: role of imaging. Semin Ultrasound CT MR 33:385–91
Gabrielli MA, Vieira EH, Gabrielli MF, Barbeiro RH (1997) Orbital roof blow-in fracture: report of a case. J Oral Maxillofac Surg 55:1475–8
Kim JW, Bae TH, Kim WS, Kim HK (2012) Early reconstruction of orbital roof fractures: clinical features and treatment outcomes. Arch Plast Surg 39:31–5
Haug RH, Van Sickels JE, Jenkins WS (2002) Demographics and treatment options for orbital roof fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:238–46
Deschamps-Braly JC, Sawan K, Iliff N, Manson PN (2010) Decision making in isolated orbital roof fractures with a case report of the upper eyelid approach to treatment. Plast Reconstr Surg 126:308e–309e
Mokal NJ, Desai MF (2012) Titanium mesh reconstruction of orbital roof fracture with traumatic encephalocele: a case report and review of literature. Craniomaxillofac Trauma Reconstr 5:11–8
Curtin HD, Wolfe P, Schramm V (1982) Orbital roof blow-out fractures. AJR Am J Roentgenol 139:969–72
Roccia F, Boffano P, Guglielmi V, Forni P, Cassarino E, Nadalin J, Fea A, Gerbino G (2011) Role of the maxillofacial surgeon in the management of severe ocular injuries after maxillofacial fractures. J Emerg Trauma Shock 4:188–93
Rha EY, Joo HS, Byeon JH (2013) Orbital dystopia due to orbital roof defect. J Craniofac Surg 24:e500–4
Fulcher TP, Sullivan TJ (2003) Orbital roof fractures: management of ophthalmic complications. Ophthal Plast Reconstr Surg 19:359–63
Almousa R, Amrith S, Mani AH, Liang S, Sundar G (2010) Radiological signs of periorbital trauma—the Singapore experience. Orbit 29:307–12
Lin KY, Ngai P, Echegoyen JC, Tao JP (2012) Imaging in orbital trauma. Saudi J Ophthalmol 26:427–32
Ball JB Jr (1987) Direct oblique sagittal CT of orbital wall fractures. AJR Am J Roentgenol 148:601–8
Feyaerts F, Hermans R (2009) The black eyebrow sign in orbital blowout fracture. JBR-BTR 92:251–2
Jones AL, Jones KE (2009) Orbital Roof “blow-in” fracture: a case report and review. J Radiol Case Rep 3:25–30
Joshi S, Kassira W, Thaller SR (2011) Overview of pediatric orbital fractures. J Craniofac Surg 22:1330–2
Lee HJ, Jilani M, Frohman L, Baker S (2004) CT of orbital trauma. Emerg Radiol 10:168–72
Rothman MI, Simon EM, Zoarski GH, Zagardo MT (1998) Superior blowout fracture of the orbit: the blowup fracture. AJNR Am J Neuroradiol 19:1448–9
Boffano P, Roccia F, Gallesio C, Karagozoglu KH, Forouzanfar T (2014) Diplopia and Orbital Wall Fractures. J Craniofac Surg. Accepted in Press
Patel PN, Kenney IJ (2009) A rare case of ‘blow-up’ fracture of the orbit in a child. Pediatr Radiol 39:869–71
Penfold CN, Lang D, Evans BT (1992) The management of orbital roof fractures. Br J Oral Maxillofac Surg 30:97–103
Piotrowski WP, Beck-Mannagetta J (1995) Surgical techniques in orbital roof fractures: early treatment and results. J Craniomaxillofac Surg 23:6–11
Scarfe WC (2005) Imaging of maxillofacial trauma: evolutions and emerging revolutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:S75–96
Lane K, Penne RB, Bilyk JR (2007) Evaluation and management of pediatric orbital fractures in a primary care setting. Orbit 26:183–91
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Righi, S., Boffano, P., Guglielmi, V. et al. Diagnosis and imaging of orbital roof fractures: a review of the current literature. Oral Maxillofac Surg 19, 1–4 (2015). https://doi.org/10.1007/s10006-015-0482-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-015-0482-9