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

Jaime Gasco, Kristopher Hooten, Ryan W. Ridley, Leonardo Rangel-Castilla, Amole Adewumi, Haring J. Nauta, Vicente Resto

Research output: Contribution to journalArticle

3 Scopus citations


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. Method: 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. Conclusion: Neuronavigation-assisted decompression should be considered as an effective means of removing superior orbital fissure fractures.

Original languageEnglish (US)
Pages (from-to)241-246
Number of pages6
JournalSkull Base
Issue number3
StatePublished - May 2009



  • Neuroendoscopy
  • Neuronavigation
  • Orbital trauma
  • Superior orbital fissure

ASJC Scopus subject areas

  • Clinical Neurology

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