Neuronavigation-guided endoscopic decompression of superior orbital fissure fracture: case report and literature review.
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.


METHODS
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.


CONCLUSIONS
Neuronavigation-assisted decompression should be considered as an effective means of removing superior orbital fissure fractures.
Gasco
Jaime
J
Division of Neurological Surgery, University of Texas Medical Branch, Galveston, Texas.
Hooten
Kristopher
K
Ridley
Ryan W
RW
Rangel-Castilla
Leonardo
L
Adewumi
Amole
A
Nauta
Haring J
HJ
Resto
Vicente A
VA