scholarly journals Measurement of Orbital Dimensions (Orbital Height, Breadth and Length of Superior Orbital Fissure) using Dry Skull's

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Aakanksha Shukla
Keyword(s):  
Superior Orbital Fissure ◽  
Orbital Height

Superior Orbital Fissure Syndrome due to Sinusitis: Report of Two Cases

2005 ◽  
Vol 19 (4) ◽  
pp. 417-420 ◽  
Author(s):  
Fabio de Rezende Pinna ◽  
Daniel L. Dutra ◽  
Maura C. Neves ◽  
Fabrizio Ricci Romano ◽  
Richard L. Voegels ◽  
...  
Keyword(s):  
Early Recognition ◽  
Complete Recovery ◽  
Ocular Motility ◽  
Intravenous Antibiotic ◽  
Superior Orbital Fissure ◽  
Adequate Treatment ◽  
Superior Orbital Fissure Syndrome ◽  
Brain Involvement ◽  
The Brain ◽  
Anatomic Region

Background The potential morbidity and mortality of sphenoid sinus infectious processes are related to their proximity to vital structures within the orbit, such as the cavernous sinus and the brain. Involvement of the posterior orbit can result in superior orbital fissure syndrome, a rare entity affecting structures that cross this anatomic region. Early recognition of this syndrome is mandatory. Delays in adequate treatment may compromise the patient's prognosis. Methods We present two cases of incomplete superior orbital fissure syndrome due to infectious processes of the posterior ethmoid and sphenoid sinuses. Conclusions In our experience, endoscopic decompression of the lamina papyracea shows complete recovery of extrinsic ocular motility in these patients and should be combined with intravenous antibiotic therapy.

scholarly journals Anatomy of the Orbit

2020 ◽  
Vol 81 (04) ◽  
pp. 319-332
Author(s):  
Stefan Lieber ◽  
Juan C. Fernandez-Miranda
Keyword(s):  
Anterior Part ◽  
Cranial Base ◽  
Surgical Approaches ◽  
Microsurgical Anatomy ◽  
Orbital Apex ◽  
Special Issue ◽  
Superior Orbital Fissure ◽  
Anatomical Structures ◽  
Transnasal Surgery ◽  
Maxillary Sinuses

AbstractThe orbit is a paired, transversely oval, and cone-shaped osseous cavity bounded and formed by the anterior and middle cranial base as well as the viscerocranium. Its main contents are the anterior part of the visual system, globe and optic nerve, and the associated neural, vascular, muscular, glandular, and ligamentous structures required for oculomotion, lacrimation, accommodation, and sensation.A complex stream of afferent and efferent information passes through the orbit, which necessitates a direct communication with the anterior and middle cranial fossae, the pterygopalatine and infratemporal fossae, as well as the aerated adjacent frontal, sphenoidal, and maxillary sinuses and the nasal cavity.This article provides a detailed illustration and description of the microsurgical anatomy of the orbit, with a focus on the intrinsically complex spatial relationships around the annular tendon and the superior orbital fissure, the transition from cavernous sinus to the orbital apex. Sparse reference will be made to surgical approaches, their indications or limitations, since they are addressed elsewhere in this special issue. Instead, an attempt has been made to highlight anatomical structures and elucidate concepts most relevant to safe and effective transcranial, transfacial, transorbital, or transnasal surgery of orbital, periorbital, and skull base pathologies.

Superior Orbital Fissure Syndrome Caused by Sinusitis

2004 ◽  
Vol 131 (2) ◽  
pp. P301-P301
Author(s):  
Fabio De Rezende Pinna ◽  
Daniel L Dutra ◽  
Maura C Neves ◽  
Fabrizio Ricci Romano ◽  
Richard L Voegels ◽  
...  
Keyword(s):  
Superior Orbital Fissure ◽  
Superior Orbital Fissure Syndrome

scholarly journals Painful Ophthalmoplegia of Right Eye in 40-Year-Old Female - Diagnosed As A Case of Tolosa-Hunt Syndrome

2016 ◽  
Vol 24 (2) ◽  
pp. 160-162
Author(s):  
Umma Salma ◽  
Nurul Amin Khan ◽  
Mohammad Abdus Sattar Sarker ◽  
Shamsun Nahar ◽  
Rowsan Ara
Keyword(s):  
Cavernous Sinus ◽  
Superior Orbital Fissure ◽  
Painful Ophthalmoplegia ◽  
Medical College ◽  
Hunt Syndrome ◽  
Unilateral Headache ◽  
Nonspecific Inflammation

Tolosa-Hunt Syndrome (THS) is a painful opthalmoplegia caused by nonspecific inflammation of cavernous sinus or superior orbital fissure. Here, we present a case of THS who presented with severe unilateral headache and opthalmoplegia, responded dramatically with systemic steroidJ Dhaka Medical College, Vol. 24, No.2, October, 2015, Page 160-162

scholarly journals TRAUMATIC SUPERIOR ORBITAL FISSURE SYNDROME - A CASE REPORT

2020 ◽  
Vol 1 (1) ◽  
pp. 20-24
Author(s):  
Daniela Vrînceanu ◽  
B. Bănică ◽  
Adriana Nica ◽  
Alina Popa-Cherecheanu
Keyword(s):  
Ct Scan ◽  
Clinical Symptoms ◽  
High Dose ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Superior Orbital Fissure ◽  
Male Victim ◽  
Therapeutic Algorithm ◽  
And Function ◽  
Early Restoration

The superior orbital apex syndrome is a relatively uncommon complication of midface maxillofacial trauma. The clinical symptoms consist in ophthalmoplegia, palpebral ptosis, exophthalmia, fixed mydriasis, retrobulbar pain and supraorbital nerve hypoesthesia by involvement of the third (oculomotor nerve), fourth (trochlear), fifth (trigeminal) and sixth nerve (abducens). If there is involvement of the optical nerve, the syndrome is termed - orbital apex syndrome. In this article, we will present the case of a 33-years old male, victim of human aggression with traumatic superior orbital apex syndrome. We discuss details of diagnosis and surgical treatment. We will make, also, a review of literature on this subject. Even if the actual therapeutic algorithm is currently a matter of controversy, the generally accepted therapy plane initiated with a high dose of corticosteroids. Fine slice CT scan examination is mandatory for the correct planning. If the CT scan reveals a highly displaced maxillo-zygomatic complex fracture with or without orbital blow-out fracture, we recommend early surgical intervention after the resolving of the periorbital hematoma within 5 to 10 days ideally if concomitant intracranial injury or other conditions permit it. The early restoration of the orbital anatomy and volume will create the basis for cranial nerve decompression and function at the level of superior orbital fissure.

Endoscopic Endonasal Approaches to the Cavernous Sinus: Surgical Approaches

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 354-362 ◽  
Author(s):  
Alessandra Alfieri ◽  
Hae-Dong Jho
Keyword(s):  
Cavernous Sinus ◽  
Middle Turbinate ◽  
Lateral Wall ◽  
Surgical Instruments ◽  
Surgical Approaches ◽  
Lateral Nasal Wall ◽  
Orbital Apex ◽  
Superior Orbital Fissure ◽  
Endoscopic Endonasal ◽  
Surgical Access

Abstract OBJECTIVE After completion of an earlier endoscopic transsphenoidal anatomic study, we studied various endoscopic transsphenoidal approaches using cadaveric specimens to develop endoscopic endonasal surgical approaches to the cavernous sinus. METHODS Ten cavernous sinuses in five artery-injected adult cadaveric heads were studied with 0-, 30-, and 70-degree angled 4-mm rod-lens endoscopes. The extent of the surgical exposure, the skewed endoscopic anatomic view, and the maneuverability of surgical instruments through their relative operating spaces were studied after various endoscopic endonasal approaches via one nostril. RESULTS The paraseptal approach was used between the nasal septum and the middle turbinate and provided exposure at the anteromedial portion of the cavernous sinus. The contralateral paraseptal approach rendered a slightly more medial view at the cavernous sinus than did the ipsilateral approach. This approach offered limited surgical access to the lateral vertical compartment. The middle turbinectomy approach allowed surgical access to the lateral wall of the cavernous sinus, except for the superior orbital fissure and the orbital apex. The middle meatal approach, which was made between the middle turbinate and the lateral nasal wall, revealed the entire lateral vertical compartment of the cavernous sinus, including the orbital apex and the superior orbital fissure. However, its lateral tangential surgical trajectory and the absence of dedicated surgical tools limited the surgeon's surgical maneuverability. A combination of the middle turbinectomy and middle meatal approaches increased the operating space. CONCLUSION Various endoscopic endonasal surgical approaches to the cavernous sinus were studied using adult cadaveric head specimens.

Sign in / Sign up

Export Citation Format

Share Document