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Neurosurgical Review
Published in: Neurosurgical Review 1/2021

01-02-2021 | Incision | Review

An evolving perspective of endoscopic transnasal optic canal decompression for traumatic optic neuropathy in clinic

Authors: Jingquan Lin, Wanglu Hu, Qun Wu, Jianmin Zhang, Wei Yan

Published in: Neurosurgical Review | Issue 1/2021

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Abstract

Traumatic optic neuropathy (TON) is a serious complication of craniofacial trauma, which damages the optic nerve indirectly and leads to dysfunction of visual acuity. The clinical intervention for a patient with TON includes optic canal decompression (with or without steroids), treatment with corticosteroids alone, or observation only. Currently, there is a controversy among clinicians as to which treatment is optimal. An increasing number of retrospective studies have unveiled that patients could experience significant improvement in visual acuity after optic canal decompression surgery, particularly endoscopic transnasal/transethmosphenoid optic canal decompression (ETOCD), either with or without corticosteroids. In this review, we discuss the evolving perspective on surgical treatment, specifically ETOCD, for the management of patients with TON and focus mainly on the therapeutic efficacy, safety, and resulting prognosis in the clinic.
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Metadata
Title
An evolving perspective of endoscopic transnasal optic canal decompression for traumatic optic neuropathy in clinic
Authors
Jingquan Lin
Wanglu Hu
Qun Wu
Jianmin Zhang
Wei Yan
Publication date
01-02-2021
Publisher
Springer Berlin Heidelberg
Keyword
Incision
Published in
Neurosurgical Review / Issue 1/2021
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-019-01208-y

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