ORL
Original Paper
Endoscopic Optic Nerve Decompression for Patients with Traumatic Optic Neuropathy: Is Nerve Sheath Incision Necessary?Xu R.a · Chen F.a · Zuo K.a · Ye X.a · Yang Q.b · Shi J.a · Chen H.a · Li H.aDepartments of Otolaryngology at aThe First Affiliated Hospital of Sun Yat-sen University and bThe Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
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Article / Publication Details
Received: July 29, 2013
Accepted: December 27, 2013
Published online: April 03, 2014
Issue release date: May 2014
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 1
ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)
For additional information: https://www.karger.com/ORL
Abstract
Objective: To evaluate the necessity of nerve sheath incision for the treatment of patients with traumatic optic neuropathy (TON) during endoscopic optic nerve decompression. Methods: Seventy-four TON patients were enrolled and subjected to endoscopic optic nerve decompression. In 31 TON patients (group A), osseous decompression and nerve sheath incision were performed, and in 43 TON patients (group B), osseous decompression alone was carried out. Visual acuity was evaluated postoperatively. Results: After surgery, visual acuity was improved in 47 of 74 patients, with a total effectiveness ratio of 63.5%. The total ratio of improvement in groups A and B was 61.2 and 65.1%, respectively, and no significant difference was observed (p > 0.05). As to the patients with residual vision preoperatively, the ratio of improvement in groups A and B was 64.2 and 71.4%, respectively (p > 0.05), not favoring nerve sheath incision during endoscopic optic nerve decompression. Conclusion: Our preliminary results suggest that during endoscopic optic nerve decompression for the treatment of TON patients, nerve sheath incision is not obligatory for the improvement of visual acuity.
© 2014 S. Karger AG, Basel
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References
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Article / Publication Details
Received: July 29, 2013
Accepted: December 27, 2013
Published online: April 03, 2014
Issue release date: May 2014
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 1
ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)
For additional information: https://www.karger.com/ORL
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