Application of image guidance system in endoscopic optic nerve decompression of traumatic occlusion optic neuropathy affiliated with cerebrospinal rhinorrhea.
- Author:
Hua ZHANG
1
;
Xicheng SONG
;
Qingquan ZHANG
;
Yan SUN
;
Qiang WANG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery,Yantai Yuhuangding Hospital,Yantai, 264000, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Cerebrospinal Fluid Rhinorrhea;
complications;
surgery;
Decompression, Surgical;
methods;
Female;
Humans;
Male;
Middle Aged;
Neuroimaging;
instrumentation;
Neurosurgical Procedures;
instrumentation;
Optic Nerve Injuries;
complications;
surgery;
Retrospective Studies;
Surgery, Computer-Assisted;
Treatment Outcome;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2011;25(17):777-779
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the advantages of image guidance system in endoscopic optic nerve decompression of traumatic occlusion optic neuropathy affiliated with cerebrospinal rhinorrhea.
METHOD:Retrospective review of 15 traumatic occlusion optic neuropathy affiliated with cerebrospinal rhinorrhea at our department between June 2006 and June 2010. Witch were performed endoscopic optic nerve decompression and cerebrospinal rhinorrhea euplastic by image guidance system.
RESULT:After 3 months to 1 year follow-up, All the cases with cerebrospinal rhinorrhea euplastic were successful. Two cases recovered to 0.3-0.6 in visual activity. Two cases to 0.1-0.3. One case was less than 0.1. Two cases could see hand movement and 2 cases had light perception. Total effective rate was 60 percent (9/15).
CONCLUSION:Image guidance system combined with endoscopy provides accurate localization and identifies the operative borders and critical anatomical structure of skull base, optic nerve and internal carotid artery,and also clearly indicate their adjacent relations,also decreases surgical invasions and complications. Image guidance system can improve the accuracy and safety, particularly in local anatomic structure due to the trauma caused by changes in the relationship. It is a safety and effective therapy method.
