Related Experiment Video
Updated: Jun 25, 2026
10:35
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
[Traumatic Rollel's syndrome treated with decompression of orbital apex]
Ji-di Fu1, Wei-xian Song, Tian-ming Zhang
1Department of Neurosurgery, Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730, China. fujidi@sohu.com
Summary
Orbital apex decompression effectively treats traumatic Rollel
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Context:
- Traumatic Rollel's syndrome presents a significant challenge in managing orbital apex lesions.
- Surgical decompression is a critical intervention for restoring function in affected patients.
Purpose:
- To evaluate the efficacy of orbital apex decompression in treating traumatic Rollel's syndrome.
- To compare the outcomes of trans-frontal and trans-pterion surgical approaches.
Summary:
- Eleven patients underwent orbital apex decompression via trans-frontal or trans-pterion approaches.
- Postoperative visual acuity improved by at least one grade in all patients with residual vision.
- Nerve recovery and normalization of eye position (exophthalmos) were observed in all cases.
Impact:
- Orbital apex decompression is a viable and effective treatment for traumatic Rollel's syndrome.
- Craniotomy approaches are suitable for managing combined brain injuries alongside orbital trauma.
- Surgical timing, approach, and injury severity influence patient recovery outcomes.
