Samuel Cheshier

Publication Details

  • Supraorbital approach for repair of open anterior skull base fracture Case report JOURNAL OF NEUROSURGERY-PEDIATRICS Szabo, K. A., Cheshier, S. H., Kalani, M. Y., Kim, J. W., Guzman, R. 2008; 2 (6): 420-423


    To the authors' knowledge, this is the first report of the use of anterior orbitotomy via the supraorbital eyelid crease to repair a dural tear caused by an orbital roof fracture. When transorbital penetrating injuries occur in children, they are commonly caused by accidental falls onto pointed objects. The authors report on their experience with a 7-year-old girl who fell onto a blunt metal rod hanger that penetrated her left eyelid, traversed superior to the eye globe, and penetrated the orbital roof at a depth of 3-4 cm, lacerating the dura mater and entering the cerebrum. An anterior transpalpebral transorbital approach was used to perform the microsurgical anterior skull base and dural repair. The authors advocate the application of this approach to orbital roof fractures because it provides excellent access to the orbital roof, eliminates the need for more invasive craniotomy, results in a small and well-hidden scar in the eye crease, and overall offers a shorter recovery time with less psychological stress to the patient.

    View details for DOI 10.3171/PED.2008.2.12.420

    View details for Web of Science ID 000261205600010

    View details for PubMedID 19035689

Stanford Medicine Resources:

Footer Links: