Neuronavigation-Guided Endoscopic Decompression of Superior Orbital Fissure Fracture: Case Report and Literature Review

作者：Gasco Jaime; Hooten Kristopher; Ridley Ryan W; Range Castilla Leonardo; Adewumi Amole; Nauta Haring J^*; Resto Vicente A

来源：Skull Base, 2009, 19(3): 241-246.

DOI：10.1055/s-0028-1114297

• Orbital trauma
• superior orbital fissure
• neuroendoscopy
• neuronavigation

Objective: We present a rare case of an isolated superior orbital fissure fracture resulting from blunt injury to the face and presenting with selective cranial nerve deficits surgically treated with a neuroendoscopic approach. The anatomy of the superior orbital fissure is detailed, and the peculiarities of the surgical approach described. Method: A review of the existing literature reveals this is the first reported case of a neuronavigation-assisted endoscopic approach used in the extraction of a superior orbital fracture fragment with good outcome. Current guidelines for an endoscopic approach in orbital trauma are reviewed, and pertinent literature is discussed. Conclusion: Neuronavigation-assisted decompression should be considered as an effective means of removing superior orbital fissure fractures.

• 出版日期2009-5