Chinese expert consensus on the diagnosis and treatment of traumatic supraorbital fissure syndrome(version 2024)
Traumatic supraorbital fissure syndrome(TSOFS)is a symptom complex caused by nerve entrapment in the supraorbital fissure after skull base trauma.If the compressed cranial nerve in the supraorbital fissure is not decompressed surgically,ptosis,diplopia and eye movement disorder may exist for a long time and seriously affect the patients'quality of life.Since its overall incidence is not high,it is not familiarized with the majority of neurosurgeons and some TSOFS may be complicated with skull base vascular injury.If the supraorbital fissure surgery is performed without treatment of vascular injury,it may cause massive hemorrhage,and disability and even life-threatening in severe cases.At present,there is no consensus or guideline on the diagnosis and treatment of TSOFS that can be referred to both domestically and internationally.To improve the understanding of TSOFS among clinical physicians and establish standardized diagnosis and treatment plans,the Skull Base Trauma Group of the Neurorepair Professional Committee of the Chinese Medical Doctor Association,Neurotrauma Group of the Neurosurgery Branch of the Chinese Medical Association,Neurotrauma Group of the Traumatology Branch of the Chinese Medical Association,and Editorial Committee of Chinese Journal of Trauma organized relevant experts to formulate Chinese expert consensus on the diagnosis and treatment of traumatic supraorbital fissure syndrome(version 2024)based on evidence of evidence-based medicine and clinical experience of diagnosis and treatment.This consensus puts forward 12 recommendations on the diagnosis,classification,treatment,efficacy evaluation and follow-up of TSOFS,aiming to provide references for neurosurgeons from hospitals of all levels to standardize the diagnosis and treatment of TSOFS.
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