■眶上裂包含颅神经III,IV,VI,和V1,它们的三个分支:额叶,泪腺,和鼻纤毛。上眶裂综合征(SOFS)是罕见的,可能是由于创伤而压迫这些神经的结果,出血,或者球后空间的炎症,但是没有报道深外侧眶壁减压(DLOWD)后发生SOFS的病例。本文的目的是描述这种病理学,其可能的原因,管理,和结果。
■在2010年至2023年间在我院进行的因Graves\'眼病引起的眼球外翻的575DLOWD患者的回顾性研究。根据临床表现确定3例术后SOFS,历史,体检,和放射学研究。所有患者观察至少12个月。
■SOFS被诊断为眼肌麻痹,上睑下垂,固定和扩大的瞳孔,上眼睑和前额的低/麻醉,角膜反射丧失,DLOWD后没有视力丧失。骨折,水肿,出血被排除在外.他们接受了大剂量静脉注射类固醇治疗,患者完全康复。
■DLOWD挑战眼眶外科医生,因为它需要去除地球附近的骨骼或神经血管结构。SOFS可能由于这些结构上的接近和增加的压力而发生。
UNASSIGNED: The superior orbital fissure contains cranial nerves III, IV, VI, and V1 with their three branches: frontal, lacrimal, and nasociliary. Superior orbital fissure syndrome (SOFS) is rare and can occur as a result of compression of these nerves due to trauma, bleeding, or inflammation in the retrobulbar space, but no cases of SOFS after deep lateral orbital wall decompression (DLOWD) have been reported. The aim of this paper is to describe this pathology, its possible causes, management, and outcome.
UNASSIGNED: Retrospective study of 575 DLOWD in patients with disfiguring exophthalmos due to Graves\' ophthalmopathy performed in our hospital between 2010 and 2023. Three cases of postoperative SOFS were identified based on clinical presentation, history, physical examination, and radiological study. All patients were observed for a minimum of 12 months.
UNASSIGNED: SOFS was diagnosed with the presence of ophthalmoplegia, ptosis, fixed and dilated pupils, hypo/anesthesia of the upper eyelid and forehead, loss of corneal reflex, and no loss of vision after DLOWD. Fractures, edema, and hemorrhages were excluded. They were treated with high-dose intravenous steroids and the patients recovered completely.
UNASSIGNED: DLOWD challenges orbital surgeons because it requires removing bones near the globe or neurovascular structures. SOFS may occur due to the proximity and increased pressure on these structures.