Traumatic Superior Orbital Fissure Syndrome: Case Report

The superior orbital fissure syndrome is characterized by external ophthalmoplegia, ptosis, exophthalmos, fixed, dilated pupil, and anesthesia of the upper eyelid and forehead. This syndrome is a complex of impaired function of the cranial nerves that enter the orbit through superior orbital fissure. Three major causal factors are tumors, inflammation and trauma. We present a patient who had signs and symptoms of superior orbital fissure syndrome after traumatic zygomaticomaxillary fractures. After surgical reduction of fractured zygomaticomaxillary bone segment and conservative management, complete functional recovery of the eye was noted.

Rigid Fixation of Methylmethacrylate on Cranioplasty: Internal Screw-Locking Method

Methylmethacrylate has been proven to be successful in craniofacial alloplastic contouring surgery over several decades. Especially, for the patient with only forehead irregularity after the skull trauma, the alloplastic contouring surgery with methylmethacrylate onlay implant is the choice of treatment. The major advantage of methylmethacrylate is that it is completely malleable in the initial stages of hardening, thus permitting an optimal contouring. However, due to its incapability of direct bonding to the surrounding tissues and consequent lack of fixation, additional fixation technique is necessary. Several different methods have been established to prefabricate methylmethacrylate for cranioplasty, but they are complex; no one-stage procedure. In case of forehead irregularity we performed craniofacial contouring using methylmethacrylate and fixation with internal screw-locking method. Firm fixation, molding in situ, and easiness of manipulation are potential advantages over previously established methods.