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Information about Fissura Orbitalis Superior

Bone: Superior orbital fissure
1 Foramen ethmoidale, 2 Canalis opticus, 3 Fissura orbitalis superior, 4 Fossa sacci lacrimalis, 5 Sulcus infraorbitalis, 6 Fissura orbitalis inferior, 7 Foramen infraorbitale
Dissection showing origins of right ocular muscles, and nerves entering by the superior orbital fissure.
Latinfissura orbitalis superior
subject #201 900
Dorlands/Elsevier f_08/12365608
The superior orbital fissure is a foramen in the skull, although strictly it is more of a cleft, lying between the lesser and greater wings of the sphenoid bone.

Structures passing through

A number of important anatomical structures pass through the fissure, and these can be damaged in orbital trauma, particularly blowout fractures through the floor of the orbit into the maxillary sinus. These structures are:

Perhaps inevitably, a ribald mnemonic has been dreamt up by medical students:[1] "Lazy French Tarts Sit Naked In Anticipation Of Sex" - for Lacrimal, Frontal, Trochlear, Superior Division of Oculomotor, Nasociliary, Inferior Division of Oculomotor, Abducens nerves, Ophthalmic vein, Sympathetic nerves.

Pathology

The abducens nerve is most likely to show signs of damage first, with the most common complaints retro-orbital pain and the involvement of cranial nerves III, IV, V1, and VI without other neurological signs or symptoms. This presentation indicates either compression of structures in the superior orbital fissure or the cavernous sinus.

Superior orbital fissure syndrome

Superior orbital fissure syndrome, also known as Rochon-Duvigneaud's syndrome, is a neurological disorder that results if the superior orbital fissure is fractured. Involvement of the cranial nerves that pass through the superior orbital fissure may lead to diplopia, paralysis of extraocular motions, exophthalmos, and ptosis. Blindness or loss of vision indicates involvement of the orbital apex, which is more serious, requiring urgent surgical intervention.

See also

Additional images


Sphenoid bone. Upper surface.

Sphenoid bone. Upper and posterior surfaces.

The skull from the front.


References

External links

Human cranial bones
 •  • [ e]
occipital bone: Foramen magnum | Squama occipitalis (Inion | Nuchal lines | Planum occipitale | Planum nuchale | Internal occipital protuberance | Sagittal sulcus | Internal occipital crest) | Lateral parts (Hypoglossal canal | Condyloid fossa | Condyloid canal | Jugular process | Jugular tubercle) | Basilar part (Pharyngeal tubercle) parietal bone: Parietal eminence | Temporal line | Parietal foramen frontal bone: Squama frontalis (Frontal suture | Frontal eminence | Superciliary arches | Glabella | Supraorbital foramen | Zygomatic process | Sagittal sulcus | Frontal crest | Foramen cecum) | Pars orbitalis (Frontal sinus | Frontonasal duct) temporal bone: Squama temporalis (Articular tubercle | Suprameatal triangle | Mandibular fossa | Petrotympanic fissure) | Mastoid portion (Mastoid foramen | Mastoid process | Mastoid notch | Occipital groove | Sigmoid sulcus | Mastoid antrum) | Petrous portion (Hiatus of the facial canal | Internal auditory meatus | Subarcuate fossa | Carotid canal | Aqueduct of cochlea | Jugular fossa | Inferior tympanic canaliculus | Mastoid canaliculus | Styloid process | Stylomastoid foramen | Jugular foramen | Petrosquamous suture) | Tympanic part (Suprameatal spine) | Zygomatic process sphenoid bone: Sphenoidal sinuses | Ethmoidal spine | Optic foramen | Sella turcica | Fossa hypophyseos | Dorsum sellae | Posterior clinoid processes | Carotid groove | Lingula sphenoidalis | Sphenoidal conchæ | Great wings (Spina angularis | Foramen rotundum | Foramen ovale | Foramen Vesalii | Foramen spinosum | Infratemporal crest | Sulcus tubae auditivae | Small wings | Superior orbital fissure | Anterior clinoid process | Optic foramen) | Pterygoid processes (Pterygoid fossa | Scaphoid fossa | Lateral pterygoid plate | Medial pterygoid plate | Pterygoid hamulus | Sphenoidal conchæ | Sphenoidal sinuses) ethmoid bone: Cribriform plate | Crista galli | Perpendicular plate | Labyrinth | Ethmoid sinus | Uncinate process | Middle nasal concha | Superior meatus | Superior nasal concha | Middle meatus
Facial bones
maxilla: Incisive fossa | Maxillary sinus | Incisive fossa | Canine fossa | Infraorbital foramen | Anterior nasal spine | Alveolar canals | Orbitofrontal cortex | Infraorbital canal | Pterygopalatine canal | Zygomatic process | Agger nasi | Anterior lacrimal crest | Alveolar process | Incisive foramen | Incisive canals | Foramina of Scarpa | Premaxilla | Anterior nasal spine lacrimal bone: Posterior lacrimal crest zygomatic bone: Zygomaticofacial foramen | Zygomaticotemporal foramen | Zygomaticoörbital foramina palatine bone: Pterygopalatine fossa | Pterygoid fossa | Horizontal plate | Posterior nasal spine | Perpendicular plate | Pterygopalatine canal | Sphenopalatine foramen | Pyramidal process | Orbital process | Sphenoidal process mandible: Symphysis menti | Mental foramen | Mylohyoid line | Ramus mandibulae | Mandibular foramen | Mandibular canal others: nasal bone | inferior nasal conchae | vomer bone
composite structures
Cranial sutures: Coronal | Lambdoidal | Occipitomastoid | Parietomastoid | Sphenofrontal | Sphenoparietal |Sphenosquamosal | Sphenozygomatic |Squamosal | Zygomaticotemporal | Zygomaticofrontal | Frontal/Metopic | Sagittal | Frontoethmoidal | Petrosquamous | Sphenoethmoidal | Sphenopetrosal Asterion | Nasion | Pterion | Dacryon | Inferior orbital fissure
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Foramina of the skull (and canals and fissures)
Foraminacecum - ethmoidal (anterior, posterior) - incisive - jugular - lacerum - magnum - mandibular - mastoid - mental - optic - orbital (infraorbital, supraorbital) - ovale - palatine (greater, lesser) - parietal - rotundum - sphenopalatine - spinosum - stylomastoid - zygomaticofacial - zygomaticotemporal
Canalscarotid - condylar - hypoglossal - incisive - pterygoid
Fissuresorbital (inferior, superior) - petrotympanic
otherexternal acoustic meatus - internal acoustic meatus - cribriform plate
Ethmoidal foramina can refer to:
  • anterior ethmoidal foramen
  • posterior ethmoidal foramen

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optic foramen, which transmits the optic nerve and ophthalmic artery (with accompanying sympathetic nerve fibres) into the orbital cavity.

The optic foramen is the opening to the optic canal.
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Near the middle of the posterior part of the orbital surface of the maxilla is the infraorbital groove (or sulcus), for the passage of the infraorbital vessels and nerve.
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The lateral wall and the floor of the orbit are separated posteriorly by the inferior orbital fissure which transmits the maxillary nerve and its zygomatic branch, the infraorbital vessels, and the ascending branches from the sphenopalatine ganglion.
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infraorbital foramen, the end of the infraorbital canal; it transmits the infraorbital artery, vein, and infraorbital nerve.

External links

  • Norman/Georgetown cranialnerves ( V )
  • SUNY Labs 29:os-0506 (closeup)
  • SUNY Figs

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Latin}}} 
Official status
Official language of: Vatican City
Used for official purposes, but not spoken in everyday speech
Regulated by: Opus Fundatum Latinitas
Roman Catholic Church
Language codes
ISO 639-1: la
ISO 639-2: lat
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Elsevier, the world's largest publisher of medical and scientific literature, forms part of the Reed Elsevier group. Based in Amsterdam, the company has substantial operations in the UK, USA and elsewhere.
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In anatomy, a foramen is any opening.

Examples

Skull

See Foramina of skull

Other

  • the apical foramen is the hole at the tip of the root of a tooth.
  • the foramen ovale (heart) is a hole between the venous and arterial sides of the fetal heart.

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The lesser wings of the sphenoid or orbito-sphenoids are two thin triangular plates, which arise from the upper and anterior parts of the body, and, projecting lateralward, end in sharp points [Fig. 1].
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The greater wing of the sphenoid bone, or ali-sphenoid, is a bony process of the sphenoid bone; there is one on each side, extending from the side of the body of the sphenoid and curving upward, laterally, and backwards.
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The sphenoid bone (from Greek sphenoeides, "wedgelike") is a bone situated at the base of the skull in front of the temporals and basilar part of the occipital bone.

The sphenoid bone somewhat resembles a butterfly or bat with its wings extended.
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Bones are rigid organs that form part of the endoskeleton of vertebrates. They function to move, support, and protect the various organs of the body, produce red and white blood cells and store minerals.
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Anatomy (from the Greek ἀνατομία anatomia, from ἀνατέμνειν
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In anatomy, the orbit is the cavity or socket of the skull in which the eye and its appendages are situated.

It can also mean the skin which surrounds the eye of a bird.

In the adult human, the volume of the orbit is 30 ml, of which the eye occupies 6.5 ml.
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A blowout fracture is a fracture of the walls or floor of the orbit. Intraorbital material may be pushed out into one of the paranasal sinuses. This is most commonly caused by blunt trauma of the head.
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The maxillary sinus (or Antrum of Highmore) is the largest of the paranasal sinuses, and is pyramidal in shape.

General characteristics

Found in the body of the maxilla, this sinus has three recesses: an alveolar recess pointed inferiorly, bounded by the alveolar
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The oculomotor nerve is the third of twelve paired cranial nerves. It controls most of the eye movements (cranial nerves IV and VI also do some), constriction of the pupil, and holding the eyelid open.
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The trochlear nerve (the fourth cranial nerve, also called the fourth nerve or simply IV) is a motor nerve (a “somatic efferent” nerve) that innervates a single muscle: the superior oblique muscle of the eye.
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The lacrimal nerve is the smallest of the three branches of the ophthalmic.

It sometimes receives a filament from the trochlear nerve, but this is possibly derived from the branch which goes from the ophthalmic to the trochlear nerve.
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The frontal nerve is the largest branch of the ophthalmic, and may be regarded, both from its size and direction, as the continuation of the nerve.

It enters the orbit through the superior orbital fissure, and runs forward between the Levator palpebræ superioris and the
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The nasociliary nerve is a branch of the ophthalmic nerve. It is intermediate in size between the two other main branches of the ophthalmic nerve, the frontal nerve and the lacrimal nerve, and is more deeply placed.
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The ophthalmic nerve is one of the three branches of the trigeminal nerve, the fifth cranial nerve. Like the maxillary branch of the trigeminal nerve, the ophthalmic branch carries sensory fibers only.
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The trigeminal nerve (the fifth cranial nerve, also called the fifth nerve or simply V) is responsible for sensation in the face. It is similar to the spinal nerves C2–S5, which are responsible for sensation in the rest of the body.
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The abducens nerve (the sixth cranial nerve, also called the sixth nerve or simply VI) is a motor nerve (a “somatic efferent” nerve) that controls the movement of a single muscle, the lateral rectus muscle of the eye.
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The superior ophthalmic vein begins at the inner angle of the orbit in a vein named the nasofrontal which communicates anteriorly with the angular vein; it pursues the same course as the ophthalmic artery, and receives tributaries corresponding to the branches of that vessel.
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autonomic nervous system (ANS) (or visceral nervous system) is the part of the peripheral nervous system that acts as a control system, maintaining homeostasis in the body. These maintenance activities are primarily performed without conscious control or sensation.
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The cavernous plexus is situated below and medial to that part of the internal carotid artery which is placed by the side of the sella turcica in the cavernous sinus, and is formed chiefly by the medial division of the internal carotid nerve.
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Not to be confused with pneumonic.


A mnemonic (pronounced IPA: /niːˈmɒnɪk/ in RP, /nɨˈmɑnɨk/
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Simply, a sign is an indication of some fact or quality; and, in everyday English, a medical sign is an "objective" indication of some medical fact or quality that is detected by a physician during a physical examination of a patient—such as elevated
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Pain is a sensation transmitted from sensory nerves through the spinal cord and to the sensory area of the cerebrum, where the sensation is perceived. It is defined by the International Association for the Study of Pain (IASP) as “an unpleasant sensory and emotional
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