One-stage reconstruction of orbital roof fracture after head injury

Objective To analyze the clinical features and treatments of orbital roof fracture after head injury.Methods A retrospective analysis of 15 patients with orbital roof fracture after head injury in the department of neurosurgery from October 2006 to January 2012 was investigated.Results The defect areas of orbital roof ranged 240 ～ 320 mm2.Frontal fracture in 15 patients,contusion and laceration of brain in 14 patients,pneumatosis in 9 patients,epidural hematoma in 8 patients,frontozygomatic suture fracture in 5 patients,ethmoid fracture in 4 patients,nasal fracture in 3 patients,orbital floor fracture in 1 patients,orbital medial wall fracture in 1 patients;periorbital edema and ecchymosis in 15 patients,exophthalmos in 2 patients,ophthalmorrhea in 2 patients,rhinorrhea in 2 patients,globe rupture in 2 patients.A coronal incision was applied to treat fronto-orbital fracture.Orbital roof fracture was reconstructed with titanium mesh.Only 1 case complained diplopia after operation,but it recovered normal after 6 months.There were 1 case of ophthalmorrhea and 1 case of rhinorrhea,and they were cured after lumber drainage.Conclusions One-stage reconstruction of orbital roof fracture can reduce diplopia and rhinorrhea. Key words: Orbital roof fracture ;  Reconstruction ;  Diplopia;  Head injury