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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Clinical research on nasal endoscopic surgery for rhinogenous optic function damage].
1Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China.
Summary
Transnasal endoscopic sinus surgery effectively treats rhinogenous optic function damage (ROFD). This minimally invasive approach, sometimes including optic nerve decompression, improves vision in patients unresponsive to medical therapy.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Neurosurgery
Background:
- Rhinogenous optic function damage (ROFD) presents a significant challenge in visual impairment.
- Endoscopic sinus surgery offers a minimally invasive alternative for treating conditions affecting optic nerve function.
Purpose of the Study:
- To evaluate the efficacy of transnasal endoscopic surgery for treating rhinogenous optic function damage.
- To assess the outcomes of endoscopic optic nerve decompression in severe ROFD cases.
Main Methods:
- Retrospective review of 23 patients (25 eyes) with ROFD treated via transnasal endoscopic approach.
- Nine patients underwent endoscopic optic nerve decompression as part of their treatment.
Main Results:
- Sinusitis types varied, including pansinusitis, ethmoidal sinusitis, sphenoiditis, and fungal sinusitis.
- Preoperative visual acuity ranged from no light perception to significant impairment; postoperative results showed 10 eyes cured and 13 improved.
- Surgical intervention led to visual acuity improvement in a majority of treated eyes.
Conclusions:
- Endoscopic sinus surgery combined with medical therapy is effective for ROFD.
- Endoscopic sinus surgery, including optic nerve decompression, is recommended for severe visual damage unresponsive to medical treatment.
