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Endoscopic endonasal decompression for traumatic optic nerve injury: how I do it.
Anqi Wang1, Dongyi Jiang1, Zhimin Wang2
1Department of Neurosurgery, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, 215000, China.
Acta Neurochirurgica
|November 4, 2024
Summary
Endoscopic endonasal decompression is a key technique for traumatic optic nerve injury. This method safely navigates poor sphenoid sinus pneumatization by sequentially decompressing the optic canal walls.
Area of Science:
- Neurosurgery
- Ophthalmology
- Endoscopic Skull Base Surgery
Background:
- Endoscopic endonasal decompression is an established technique for traumatic optic nerve injury.
- Poor sphenoid sinus pneumatization can obscure surgical landmarks, increasing risks to neurovascular structures.
Purpose of the Study:
- To describe a sequential decompression technique for the optic canal in cases of traumatic optic nerve injury.
- To address challenges posed by poor sphenoid sinus pneumatization.
Main Methods:
- Sequential decompression of the medial, superomedial, and inferomedial walls of the optic canal.
- Focus on decompressing the orbital apex region and defining the optic nerve contour.
Main Results:
- The technique allows for gradual visualization of the optic canal's contour.
- Safe and effective decompression is achievable even with unclear anatomical landmarks.
Conclusions:
- This sequential endoscopic approach enhances safety in optic nerve decompression.
- It provides a reliable method for managing traumatic optic nerve injuries, particularly in challenging anatomical variations.
