Outcome of Endoscopic Optic Nerve Decompression for Traumatic Optic Neuropathy

Annals of Otology, Rhinology and Laryngology - Tập 130 Số 1 - Trang 56-59 - 2021
Jingwen Sun1, Xiaoyu Cai1, Wentao Zou1, Jiaxiong Zhang1
1Department of Otorhinolaryngology, Shanghai Tenth People's Hospital, Tongji University, Shanghai, P.R. China

Tóm tắt

Objective: This study aimed to evaluate the outcomes of endoscopic optic nerve decompression (EOND) for adults with traumatic optic neuropathy (TON) and seek factors that might affect surgery outcomes. Methods: From January 2016 to June 2019, 16 adults diagnosed with TON, who underwent endoscopic trans-ethmosphenoid optic canal decompression, were reviewed. All the patients were treated with steroids before the surgery. The main outcome measure was an improvement in visual acuity (VA) after treatment. Results: Eight (50.0%) patients had residual vision before the surgery, while eight (50.0%) had no light perception. After surgical decompression, partial recovery of VA was achieved in three (18.75%) patients who were operated within 10 days and had residual vision before the surgery. However, no improvement in VA was observed for the remaining patients (81.25%) who were operated more than 10 days after injuries. Conclusions: EOND is beneficial for TON not responding to steroid therapy and can prevent permanent disability if earlier intervention is done prior to irreversible damage to the nerve. Endoscopic optic nerve surgery can decompress the traumatic and edematous optic nerve with proper exposure of optic canal and orbital apex without any major complications. The operation timing and residual vision are important factors affecting outcomes.

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Tài liệu tham khảo

10.1007/s10143-019-01208-y

10.1186/s12886-018-0792-4

10.1007/s00417-017-3816-5

Abhinav K, 2015, Neurosurgery, 11, 431

Chen F, 2014, N Am J Med Sci, 6, 270

10.1177/112067210201200410

Yu-Wai-Man P, 2013, Cochrane Database Syst Rev, 17, CD006032

10.1002/lary.23845

10.1001/archotol.129.11.1203

10.1007/s12070-017-1211-5

10.1097/TA.0b013e3182493c70

10.1002/alr.21706

10.3109/00016489.2013.822556

10.1016/S0161-6420(99)00707-1

10.1001/archotol.132.3.258

10.1034/j.1600-0420.2002.800311.x

10.1007/s12070-017-1211-5

10.1016/j.otc.2006.06.003

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Thông tin xuất bản

Annals of Otology, Rhinology and Laryngology

Tập 130 Số 1

56-59

Thông tin tác giả