COMPLEX RECONSTRUCTION OF POST-TRAUMATIC DEFECTS; A CASE REPORT OF ORBITAL ROOF REPLACEMENT
Authors:
Asterios Antoniou1,Solon Politis1, Alexandros Louizakis1, Aristeidis Prassas2, Athanassios Kyrgidis1, Konstantinos Vahtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery Aristotle University of Thessaloniki,, Thessaloniki, Greece
2 Department of Neyrosurgery, Papageorgiou Hospital, Thessaloniki, Greece
Doi: 10.54936/haoms242p15
ABSTRACT:
Objectives: Orbital roof fractures are among the least frequently encountered facial fractures. They rarely present as isolated fractures and are associated with high-impact injuries as well as multiple facial and neurological injuries. The aim of this study is to present a case of post traumatic orbital roof defect reconstruction after a motor accident.
Materials and methods: A 57-year old male patient underwent craniectony of the right side of the frontal bone due to a comminuted depressed fracture by the neurosurgical team. The patient was referred to our clinic 3 weeks after due to pulsative exophalmos and diplopia.
Results: The patient was admitted for surgery where in collaboration with the neurosurgery team an autologous temporal bone graft was used for the reconstruction of the orbital roof and the supraorbital rim and a pericranial flap was used for the coverage of the grafts. Titanium mess was used by the neurosurgeons to cover the temporal bone defect. The postoperative course was uneventful. At the four months follow up the patient has no pulsative exophalmos or diplopia
Conclusion: Management of orbital roof fractures varies based on individual clinical features. In rare cases defects of the orbital roof may occur after neurosurgery treatment. Reconstruction with autologous bone grafts from the cranium can be a safe and efficient treatment modality like in our case.
KEY WORDS:
Authors:
Asterios Antoniou1,Solon Politis1, Alexandros Louizakis1, Aristeidis Prassas2, Athanassios Kyrgidis1, Konstantinos Vahtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery Aristotle University of Thessaloniki,, Thessaloniki, Greece
2 Department of Neyrosurgery, Papageorgiou Hospital, Thessaloniki, Greece
Doi: 10.54936/haoms242p15
ABSTRACT:
Objectives: Orbital roof fractures are among the least frequently encountered facial fractures. They rarely present as isolated fractures and are associated with high-impact injuries as well as multiple facial and neurological injuries. The aim of this study is to present a case of post traumatic orbital roof defect reconstruction after a motor accident.
Materials and methods: A 57-year old male patient underwent craniectony of the right side of the frontal bone due to a comminuted depressed fracture by the neurosurgical team. The patient was referred to our clinic 3 weeks after due to pulsative exophalmos and diplopia.
Results: The patient was admitted for surgery where in collaboration with the neurosurgery team an autologous temporal bone graft was used for the reconstruction of the orbital roof and the supraorbital rim and a pericranial flap was used for the coverage of the grafts. Titanium mess was used by the neurosurgeons to cover the temporal bone defect. The postoperative course was uneventful. At the four months follow up the patient has no pulsative exophalmos or diplopia
Conclusion: Management of orbital roof fractures varies based on individual clinical features. In rare cases defects of the orbital roof may occur after neurosurgery treatment. Reconstruction with autologous bone grafts from the cranium can be a safe and efficient treatment modality like in our case.
KEY WORDS: