title: Mega dose corticosteroid treatment for traumatic superior orbital fissure and orbital apex syndromes.
abstract: The superior orbital fissure syndrome and orbital apex syndrome are rare complications of craniomaxillofacial traumas. The neurologic symptoms are generally due to reversible neuropathy caused by edema, contusion, and compression of the nerves. Much has been written but no firm conclusions have been reached on the best mode of treatment. Whereas some authors advocate emergency optic nerve decompression, others recommend mega dose corticosteroids alone. We have treated 11 patients with traumatic superior orbital fissure or orbital apex syndromes with mega dose corticosteroids in the last 10 years. No complications attributable to the very high dose of corticosteroids were observed. The long-term follow-up of the patients showed complete recovery. These satisfactory results have led to our recommendation of the mega dose corticosteroid treatment in the management of these patients.
authors.affiliation: Department of Plastic, Reconstructive, and Aesthetic Surgery, Cukurova University, School of Medicine, Adana, Turkey.
authors.forename: Sabri
authors.initials: S
authors.lastname: Acartürk
authors.forename: Tugay
authors.initials: T
authors.lastname: Seküçoğlu
authors.forename: Erol
authors.initials: E
authors.lastname: Kesiktäs
mesh_terms: D000328:Adult; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D020221:Optic Nerve Injuries / Q000188:drug therapy*; D009915:Orbit / Q000293:injuries*; D011241:Prednisone / Q000008:administration & dosage*; D012189:Retrospective Studies
chemical_list: D005938:Glucocorticoids; D011241:Prednisone; D008775:Methylprednisolone