수술적 감압술 후 회복된 외상성 위눈확틈새 증후군

• 영문명: Early Surgical Decompression in Traumatic Superior Orbital Fissure Syndrome after Failed Steroid Therapy : A Case Report
• 발행기관: 대한두개저학회
• 저자명: 여동규(Dong Kyu Yeo) 황선철(Sun Chul Hwang) 신동성(Dong Sung Shin) 김범태(Bum Tae Kim)
• 간행물 정보: 『대한두개저학회지』제4권 제1호, 39~42쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

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 movements 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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키워드

Superior orbital fissure Ptosis Ophthalmoplegia Decompression