Titanium Mesh Reconstruction of Orbital Roof

An 18-year-old male patient presented with history of motor vehicle accident with trauma to the left fronto-orbito-maxillary region. On admission, his Glasgow Coma Scale was 6/15. Local examination revealed contusions and sutured lacerations of the left forehead and eyebrow, prop-tosis and hypoglobus of the left eye, with conjunctival chemosis and prolapse and exposure of lower half of the cornea (►Fig. 1). Visual acuity could not be assessed because of the alteredmental status but pupils were reacting to light albeit sluggishly in the left eye. Computerized tomographic (CT) scan revealed fracture of the left orbital roof with displacement of the fracture fragment deep into the orbit (►Fig. 2A, 2B, 2C). There was also associated frontal lobe hemorrhagic contusion and herniation of the brain through the defect in the roof into the orbit. There were comminut