Reconstruction of the orbital roof by acrylic prosthesis.

Presentation of two cases of open orbital roof fracture with destruction of all the orbital roof extending from the fronto-maxillo region to the spina orbitalis. After a first emergency neurosurgical treatment, a cast of the excised soiled bone fragment was taken and identical replica was made from methylmethacrylate. In a second surgical procedure, the resine mould was set in place by endocranicl approach, and was fastened firmly to the surrounding bone with wire sutures.