case_images: PMC7658642_01
case_images: Initial brain computed tomography at the local hospital. Upper: axial view. Middle: coronal view. Lower: sagittal view. No definite fracture is seen on the left orbital roof. Parietal bone fractures are seen in the sagittal view.
case_images: eplasty20e13_fig1.jpg
case_images: PMC7658642_01_eplasty20e13_fig1.jpg
case_images: F1
case_images: Brain computed tomographic (CT) scan revealed acute epidural hematoma in both frontal convexities (Fig 1), and he underwent craniotomy at the local hospital.
case_images: Brain computed tomography after the first operation at the local hospital. Upper: axial view. Middle: coronal view. Lower: sagittal view. Epidural hematomas are seen on both anterior frontal convexities. A displaced orbital roof fracture segment is seen.
case_images: eplasty20e13_fig2.jpg
case_images: PMC7658642_01_eplasty20e13_fig2.jpg
case_images: F2
case_images: Thereafter, he was transferred to our department (Fig 2).
case_images: Facial computed tomography before the second operation: (a) axial view; (b) coronal view; (c) sagittal view; and (d) 3-dimensional reconstructive view. A displaced orbital roof fracture segment is seen.
case_images: eplasty20e13_fig3.jpg
case_images: PMC7658642_01_eplasty20e13_fig3.jpg
case_images: F3
case_images: Facial CT scan before the second operation revealed a displaced orbital roof fracture segment (Fig 3).
case_images: Brain computed tomography after the second operation, axial view. A displaced orbital roof fracture segment has been removed, and the defect of the orbital floor was reconstructed with a titanium mesh plate.
case_images: eplasty20e13_fig4.jpg
case_images: PMC7658642_01_eplasty20e13_fig4.jpg
case_images: F4
case_images: The displaced bony fragment was removed from the left anterior cranial fossa, and the anterior skull base was reconstructed with a titanium mesh plate (Optimus neuroplate, 3D Mesh 50x50 mm; Osteonic, Seoul, Korea) (Fig 4).