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CASE REPORT
Year : 2022  |  Volume : 17  |  Issue : 3  |  Page : 734-736

Steroids in the management of superior orbital fissure syndrome


Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Missions Dental College and Hospital, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Padmakar Sudhakar Baviskar
Department of Oral and Maxillofacial Surgery, 2nd Floor, Mahatma Gandhi Missions Dental College and Hospital, Sector 1, Kamothe, Navi Mumbai - 410 209, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_65_20

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Superior orbital fissure syndrome (SOFS) presents as complex impaired function of multiple cranial nerves with unique signs and symptoms. Traumatic etiology is seen in cases of trauma to the deep orbit with associated craniofacial fractures. Being a rare presentation to the oral and maxillofacial surgeon, a sound knowledge of this condition renders an effective diagnosis and prompt initiation of treatment necessary. Current literature evidence on management of this entity is low but highly debated. The authors present a case report of traumatic SOFS of an otherwise systemically healthy patient with detailed diagnostic evaluation and a close follow-up. A combination therapy of high then low-dose corticosteroids was initiated for the patient who demonstrated a rapid as well as complete recovery in 12 weeks. The authors conclude that steroid therapy for management has significantly reduced recovery time and should be considered over observational line of management.


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