{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T01:36:17Z","timestamp":1787880977746,"version":"build-2784847793"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":3773,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p>\n          Background  Orbital roof fractures are frequently associated with a high energy impact to the craniofacial region, and displaced orbital roof fractures can cause ophthalmic and neurologic complications and occasionally require open surgical intervention. The purpose of this article was to investigate the clinical features and treatment outcomes of orbital root fractures combined with neurologic injuries after early reconstruction.<\/jats:p><jats:p>\n          Methods  Between January 2006 and December 2008, 45 patients with orbital roof fractures were admitted; among them, 37 patients were treated conservatively and 8 patients underwent early surgical intervention for orbital roof fractures. The type of injuries that caused the fractures, patient characteristics, associated fractures, ocular and neurological injuries, patient management, and treatment outcomes were investigated.<\/jats:p><jats:p>\n          Results  The patients underwent frontal craniotomy and free bone fragment removal, their orbital roofs were reconstructed with titanium micromesh, and associated fractures were repaired. The mean follow up period was 11 months. There were no postoperative neurologic sequelae. Postoperative computed tomography scans showed anatomically reconstructed orbital roofs. Two of the five patients with traumatic optic neuropathy achieved full visual acuity recovery, one patient showed decreased visual acuity, and the other two patients completely lost their vision due to traumatic optic neuropathy. Preoperative ophthalmic symptoms, such as proptosis, diplopia, upper eyelid ptosis, and enophthalmos were corrected.<\/jats:p><jats:p>\n          Conclusions  Early recognition and treatment of orbital roof fractures can reduce intracranial and ocular complications. A coronal flap with frontal craniotomy and orbital roof reconstruction using titanium mesh provides a versatile method and provides good functional and cosmetic results.<\/jats:p>","DOI":"10.5999\/aps.2012.39.1.31","type":"journal-article","created":{"date-parts":[[2012,2,7]],"date-time":"2012-02-07T05:34:24Z","timestamp":1328592864000},"page":"31-35","source":"Crossref","is-referenced-by-count":38,"title":["Early Reconstruction of Orbital Roof Fractures: Clinical Features and Treatment Outcomes"],"prefix":"10.1055","volume":"39","author":[{"given":"Jin Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Hui","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woo Seob","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han Koo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"ref1","first-page":"75","article-title":"Conservative treatment of orbital roof blow-in fracture","volume":"19","author":"JP Bolling","year":"1987","journal-title":"Ann 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support provided by common internal orbital reconstruction materials","volume":"57","author":"RH Haug","year":"1999","journal-title":"J Oral Maxillofac Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/S0161-6420(89)32868-5","article-title":"Orbital roof fractures in childhood","volume":"96","author":"MJ Greenwald","year":"1989","journal-title":"Ophthalmology"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/SCS.0b013e3181a2d9e4","article-title":"Bilateral orbital roof fracture","volume":"20","author":"C Rinna","year":"2009","journal-title":"J Craniofac Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1097\/01.IOP.0000083646.20672.6B","article-title":"Orbital roof fractures: management of ophthalmic complications","volume":"19","author":"TP Fulcher","year":"2003","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/00006534-198908000-00003","article-title":"Orbital roof fractures in the pediatric population","volume":"84","author":"A Messinger","year":"1989","journal-title":"Plast Reconstr Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1227\/00006123-198406000-00021","article-title":"Indirect injury of the optic nerve","volume":"14","author":"LB Kline","year":"1984","journal-title":"Neurosurgery"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/01.sap.0000096442.82059.6d","article-title":"Outcome for traumatic optic neuropathy: surgical versus nonsurgical treatment","volume":"52","author":"WG Yang","year":"2004","journal-title":"Ann Plast Surg"}],"container-title":["Archives of Plastic 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