Superior Orbital Fissure Syndrome Treated By Endoscopic-Assisted Orbital Apex Decompression In The Transethmoid Sphenoidal Approach: Case Analysis And Literature Review

Superior orbital fissure syndrome(SOFS),also named Rochon-Duvigeand syndrome,is a disease characterized by dysfunction after the damage of the nerves which pass through the supraorbital fissure such as oculomotor nerve,trochlear nerve,trigeminal nerve and abducens nerve.Clinical manifestation can be varied due to different kinds of injury.There may be blephroptosis,ophthalmoplegia,limited eye movement,loss of sensation the cornea,conjunctiva and forehead skin,mydriasis,and weakening or disappearance of pupil light reflex.This paper reports one case of traumatic SOFS treated by endoscopic-assisted orbital apex decompression in the transethmoid sphenoidal approach.The clinical data of the patient were retrospectively analyzed,and the comprehensive analysis and discussion of the relevant literature were also involved.The aim of relieving nerve compression has been achieved by taking orbital apex decompression timely after the inefficacy of drug treatment for traumatic orbital fissure in this case.There is no complication during or after operation.The obvious amelioration of the blephroptosis and eye movement limitation after the operation also can verify the therapeutic effect of endoscopic-assisted orbital apex decompression in the transethmoid sphenoidal approach on the traumatic supraorbital fissure syndrome.