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KMID : 1037420090040010039
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Journal of Korean Skull Base Society
2009 Volume.4 No. 1 p.39 ~ p.42
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Early Surgical Decompression in Traumatic Superior Orbital Fissure Syndrome after Failed Steroid Therapy : A Case Report
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Yeo Dong-Kyu
Hwang Sun-Chul
Shin Dong-Sung
Kim Bum-Tae
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Abstract
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The traumatic superior orbital fissure (SOF) syndrome is a rare complication of craniofacial trauma. The treatment modalities remain still in controversy. A 35 year-old man came to emergency room after the impact of his face to other player’s knee during football game. His left eye had ptosis, a dilated fixed pupil and complete paralysis of ocular ovements and he also complained of sensory loss of the left forehead and cheek. His visual acuity was preserved. On the facial bone CT, a spicule of fractured sphenoid bone was impinged into the left SOF. Although methylprednisolone was administered for 4 days, his eye symptoms were not improved at all. So the patient was managed by complete resection of fractured bony segment. His symptoms were getting better gradually and completely recovered at the postoperative 3rd month. Surgical decompression may help improve the neurological deficits when the corticosteroid is not effective and the fractured bony segment is displaced into the SOF.
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KEYWORD
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Superior orbital fissure, Ptosis, Ophthalmoplegia, Decompression
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