Spontaneous Repositioning of Significant Blow-out Orbital Roof Fracture Associated With Intracranial Hematoma.
Tae Hwan ParkYun Joo ParkPublished in: The Journal of craniofacial surgery (2023)
Orbital roof fractures are relatively rare facial bone fractures that usually occur in conjunction with other facial bone fractures or intracranial hematoma during high-velocity facial trauma. This study reports a patient with a significant blow-out orbital roof fracture combined with a nondisplaced frontal bone fracture and epidural hematoma at the superior aspect of unilateral frontoparietal convexity. Despite the severe superiorly-displaced fracture segment, the follow-up computed tomography scans taken 4 days after the injury showed a spontaneous reduction of blow-out orbital roof fracture. At the 1-week follow-up, the coronal image of craniofacial magnetic resonance imaging was taken, showing spontaneous realignment of orbital roof fracture and physiological evolution of cerebral contusion. In conclusion, conservative treatment can acquire the best outcome regarding cosmesis and function unless the patient requires an emergent operation for other medical conditions. This is key for successfully returning the patient's form and function.
Keyphrases
- computed tomography
- magnetic resonance imaging
- soft tissue
- hip fracture
- bone mineral density
- case report
- spinal cord
- deep learning
- bone loss
- randomized controlled trial
- contrast enhanced
- clinical trial
- positron emission tomography
- optical coherence tomography
- subarachnoid hemorrhage
- machine learning
- cerebral ischemia