Endoscopic salvage treatment for optic neuropathy caused by sinonasal fibro-osseous lesions
10.3760/cma.j.issn.1673-0860.2017.09.004
- VernacularTitle: 鼻腔鼻窦骨纤维良性肿瘤导致视神经病损的经鼻内镜挽救性手术
- Author:
Jie DENG
1
;
Fenghong CHEN
1
;
Yinyan LAI
1
;
Jianbo SHI
1
Author Information
1. Otorhinolaryngology Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
- Publication Type:Journal Article
- Keywords:
Paranasal sinuses;
Osteoma;
Fibroma, ossifying;
Fibrous dysplasia of bone;
Optic nerve injuries;
Endoscopes;
Otorhinolaryngologic surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(9):654-658
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the surgical techniques, benefits and limitations of transnasal endoscopic resection and optic nerve decompression for patients with optic neuropathy caused by fibro-osseous lesions.
Methods:Eight patients with optic neuropathy caused by fibro-osseous lesions who accepted endoscopic surgery of either resection of the lesion or decompression of optic nerve in Otorhinolaryngology Hospital, First Affiliated Hospital of Sun Yat-sen University from 2007 to 2016 were retrospectively reviewed and followed until April, 2017. Analyses were performed on the pathology type, disease extent and disease duration, especially on the visual acuity and visual field changes before and after surgery.
Results:Eight patients (5 male and 3 female) were included in this study, with a median age of 12 years old (8-19 years old). The median disease duration was 12 months (1-72 months). The visual acuity (VA) of five patients (40 cm/FC, 0.2, 0.1, 0.2, 10 cm/FC, respectively) improved after surgery (0.1, 0.3, 1.2, 0.1, 0.6, respectively), and one patient had no change of VA after the surgery. Two patients (0.02, hand movement, before surgery) became deprived of light perception (VA=0) immediately after surgery. One patient complicated with intra orbital hemorrhage because of anterior artery injury. No complications of cerebral spinal fluid leak, intra-ocular muscle injury, intra-cranial hemorrhage or brain tissue injury occurred.
Conclusion:For the treatment of optic neuropathy caused by fibro-osseous lesions, transnasal endoscopic surgery might have a good outcome.
