Treatment of orbital roof blow-up fracture using a superior blepharoplasty incision

Kyoichi Matsuzaki, Sayaka Enomoto, Tomoko Aoki

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


In orbital roof blow-up fractures, reduction can be achieved easily using an approach from the anterior cranial fossa but the procedure is highly invasive. In contrast, an orbital approach using a superior blepharoplasty incision is minimally invasive. However, if bone fragments are adhered to the dura mater, there is a risk of dura mater injury when fragments are moved for reduction. In blow-in fractures, reduction is performed by pushing the bone fragments against the anterior cranial fossa. In contrast, the procedure is difficult for blow-up fractures because bone fragments must be pulled out into the orbit through the anterior cranial fossa. Orbital blow-up fractures are often associated with intracranial injuries and frequently treated by an approach from the anterior cranial fossa. There has not yet been a report that discusses whether reduction of bone fragments should be performed in blow-up fracture without intracranial injury. In this report, we describe two cases of orbital roof blow-up fracture that did not require treatment for intracranial injury and that were treated using an orbital approach. The treatment involved only the release of orbital fat entrapped between bone fragments and did not involve reduction. The treatment outcomes were good in both cases.

Original languageEnglish
Pages (from-to)166-171
Number of pages6
Issue number3
Publication statusPublished - 2015 Jun 1
Externally publishedYes


  • Blow-up fracture
  • Cine-mode magnetic resonance imaging
  • Orbital roof fracture
  • Superior blepharoplasty incision
  • Upper eyelid approach

ASJC Scopus subject areas

  • Ophthalmology


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