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

Jaime Gasco; Kristopher Hooten; Ryan W Ridley; Leonardo Rangel-Castilla; Amole Adewumi; Haring J Nauta; Vicente A Resto

doi:10.1055/s-0028-1114297

Skull Base 2009; 19(3): 241-246
DOI: 10.1055/s-0028-1114297

CASE REPORT

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

Jaime Gasco¹ , Kristopher Hooten¹ , Ryan W. Ridley² , Leonardo Rangel-Castilla¹ , Amole Adewumi³ , Haring J. Nauta¹ , Vicente A. Resto²

¹Division of Neurological Surgery, University of Texas Medical Branch, Galveston, Texas
²Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas
³Department of Radiology, University of Texas Medical Branch, Galveston, Texas

Abstract

ABSTRACT

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.

KEYWORDS

Orbital trauma - superior orbital fissure - neuroendoscopy - neuronavigation

Full Text

References

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Haring J NautaM.D.

Division of Neurological Surgery, University of Texas Medical Branch

301 University Boulevard, Galveston, Texas 77555-0517

Email: hjnauta@utmb.edu