Olgu Sunumu
Yıl 2017,
Cilt: 3 Sayı: 1, 73 - 79, 04.03.2017
Öz
Superior orbital fissure syndrome is a severe clinical entity characterized by injuries of neurovascular structures passing through the superior orbital fissure. A 38-year-old male patient admitted to outpatient clinic with left upper eyelid ptosis, ecchymosis, mydriasis, hypoesthesia in upper eyelid and frontal region, blepharoptosis, restriction of ocular movements in all directions, loss of accommodation reflex and absence of direct pupillary reflex. Three-dimensional computed tomography scans demonstrated left-sided orbital fractures resulting in obliteration of the superior orbital fissure. He underwent surgical decompression. The patient had intravenous methylprednisolone administration at preoperative and postoperative periods during hospitalization. He was discharged on the postoperative day 5. At the 9th postoperative month, the cranial nerve functions were almost completely recovered. We consider that the decompressive surgery in conjunction with perioperative steroid therapy may be effective for the traumatic superior orbital fissure syndrome.
Anahtar Kelimeler
Superior orbital fissure syndrome cranial nerve ophthalmoplegia orbital trauma steroid surgical decompression
Kaynakça
- [1] Chen CT, Wang TY, Tsay PK, Huang F, Lai JP, Chen YR. Traumatic superior orbital fissure syndrome: assessment of cranial nerve recovery in 33 cases. Plast Reconstr Surg 2010;126:205-12.
- [2] Aryasit O, Preechawai P, Aui-Aree N. Clinical presentation, aetiology and prognosis of orbital apex syndrome. Orbit 2013;32:91-4.
- [3] Rai S, Rattan V. Traumatic superior orbital fissure syndrome: Review of literature and report of three cases. Natl J Maxillofac Surg 2012;3:222-5.
- [4] Evans HH, Wurth BA, Penna KJ. Superior orbital fissure syndrome: A case report. Craniomaxillofac Trauma Reconstr 2012;5:115-20.
- [5] Acarturk S, Sekucoglu T, Kesiktas E. Mega dose corticosteroid treatment for traumatic superior orbital fissure and orbital apex syndromes. Ann Plast Surg 2004;53:60-4.
- [6] Ahmed B, Perry M, Shetty S. Interesting case: Pseudoaneurysm of internal carotid artery after severe maxillofacial injury which caused superior orbital fissure syndrome. Br J Oral Maxillofac Surg 2006;44:316.
- [7] Pecen PE, Ramey NA, Richard MJ, Bhatti MT. Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy. Clin Ophthalmol 2012;6:1941-3.
- [8] Matsuda M, Hanazono A, Kamada S, Okawa S, Kawasaki Y, Honda K, et al. Superior orbital fissure syndrome caused by aspergillus infection from maxillary sinusitis. Neurol Clin Neurosci 2015;3:134-6.
- [9] Nikolaenko VP, Astakhov YS, Gaivoronsky IV. Clinical anatomy of the orbit and periorbital area. In: Nikolaenko VP, Astakhov YS, eds. Orbital Fractures: A Physician's Manual. Berlin: Springer; 2015, pp. 13-6.
- [10] Jordan D, Mawn L, Anderson RL. Orbital bones. In: Jordan D, Mawn L, Anderson R, eds. Surgical anatomy of the ocular adnexa: a clinical approach. 2nd ed. New York, NY: Oxford University Press; 2012, p. 87.
- [11] Kim HK, Youn SW, Lee J. Quantitative measurements of cerebral circulation in spontaneously regressing traumatic carotid-cavernous sinus fistula with velocity-encoded magnetic resonance imaging. Clin Neuroradiol 2015;25:187-91.
Yıl 2017,
Cilt: 3 Sayı: 1, 73 - 79, 04.03.2017
Öz
Kaynakça
- [1] Chen CT, Wang TY, Tsay PK, Huang F, Lai JP, Chen YR. Traumatic superior orbital fissure syndrome: assessment of cranial nerve recovery in 33 cases. Plast Reconstr Surg 2010;126:205-12.
- [2] Aryasit O, Preechawai P, Aui-Aree N. Clinical presentation, aetiology and prognosis of orbital apex syndrome. Orbit 2013;32:91-4.
- [3] Rai S, Rattan V. Traumatic superior orbital fissure syndrome: Review of literature and report of three cases. Natl J Maxillofac Surg 2012;3:222-5.
- [4] Evans HH, Wurth BA, Penna KJ. Superior orbital fissure syndrome: A case report. Craniomaxillofac Trauma Reconstr 2012;5:115-20.
- [5] Acarturk S, Sekucoglu T, Kesiktas E. Mega dose corticosteroid treatment for traumatic superior orbital fissure and orbital apex syndromes. Ann Plast Surg 2004;53:60-4.
- [6] Ahmed B, Perry M, Shetty S. Interesting case: Pseudoaneurysm of internal carotid artery after severe maxillofacial injury which caused superior orbital fissure syndrome. Br J Oral Maxillofac Surg 2006;44:316.
- [7] Pecen PE, Ramey NA, Richard MJ, Bhatti MT. Metastatic pancreatic carcinoma to the orbital apex presenting as a superior divisional third cranial nerve palsy. Clin Ophthalmol 2012;6:1941-3.
- [8] Matsuda M, Hanazono A, Kamada S, Okawa S, Kawasaki Y, Honda K, et al. Superior orbital fissure syndrome caused by aspergillus infection from maxillary sinusitis. Neurol Clin Neurosci 2015;3:134-6.
- [9] Nikolaenko VP, Astakhov YS, Gaivoronsky IV. Clinical anatomy of the orbit and periorbital area. In: Nikolaenko VP, Astakhov YS, eds. Orbital Fractures: A Physician's Manual. Berlin: Springer; 2015, pp. 13-6.
- [10] Jordan D, Mawn L, Anderson RL. Orbital bones. In: Jordan D, Mawn L, Anderson R, eds. Surgical anatomy of the ocular adnexa: a clinical approach. 2nd ed. New York, NY: Oxford University Press; 2012, p. 87.
- [11] Kim HK, Youn SW, Lee J. Quantitative measurements of cerebral circulation in spontaneously regressing traumatic carotid-cavernous sinus fistula with velocity-encoded magnetic resonance imaging. Clin Neuroradiol 2015;25:187-91.
Toplam 11 adet kaynakça vardır.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Mart 2017 |
| Gönderilme Tarihi | 29 Mayıs 2016 |
| Kabul Tarihi | 27 Eylül 2016 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 3 Sayı: 1 |
e-ISSN: 2149-3189
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