New approach to the reconstruction of defects deep in the orbital roof

The orbital roof is composed predominantly of thin bone. While many fractures do not require surgical repair, mobile fragments can result in the transmission of cerebral pulsations into the orbit that symptomatically affect the globe.1 Mild symptoms usually settle spontaneously,2 but in symptomatic or severely displaced cases, repair may be indicated.3 Bone grafts, titanium mesh, and other alloplastic materials may be used for reconstruction,4 but we prefer to use the patient's original or autogenous bone, as it allows for a degree of remodelling.

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