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VOLUME 8 , ISSUE 3 ( September-December, 2015 ) > List of Articles

RESEARCH ARTICLE

Endoscopic Trans-ethmo-sphenoidal Optic Nerve Decompression for Traumatic Optic Neuropathy: Case Series and Review

Manish Gupta, Gavinder Singh Bindra, Ravi Vohra

Keywords : Blindness acquired,Endonasal trans-sphenoidal approach,Endoscope,Methylprednisolone,Optic canal decompression,Traumatic optic neuropathy

Citation Information : Gupta M, Bindra GS, Vohra R. Endoscopic Trans-ethmo-sphenoidal Optic Nerve Decompression for Traumatic Optic Neuropathy: Case Series and Review. Clin Rhinol An Int J 2015; 8 (3):99-103.

DOI: 10.5005/jp-journals-10013-1243

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To assess the visual outcome after endoscopic, endonasal trans-ethmo-sphenoidal optic nerve decompression in patients with traumatic optic neuropathy.

Materials and methods

Prospective study, at tertiary referral center. Study included 12 patients with post-traumatic indirect unilateral optic nerve injury, not responding to medical management with methylprednisolone. These patients underwent optic nerve decompression via trans-ethmo-sphenoidal route using nasal endoscope. Main outcome measure was postoperative visual acuity.

Results

Out of the 12 cases of traumatic optic neuropathy (TON) operated upon, nine had good visual outcome.

Conclusion

The endoscopic endonasal trans-sphenoidal approach can decompress the traumatized and swollen optic nerve with excellent visualization of the orbital apex and optic canal, without the morbidity associated with brain retraction as in the conventional transcranial decompression.

How to cite this article

Gupta M, Bindra GS, Vohra R. Endoscopic Trans-ethmo-sphenoidal Optic Nerve Decompression for Traumatic Optic Neuropathy: Case Series and Review. Clin Rhinol An Int J 2015;8(3):99-103.


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