Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
I n t r o d u c t i o n : Orbital and optic nerve decompression has evolved over the years from an open surgery initially, to the current endoscopic approach. The current endoscopic approach is popularized on the idea of a safer surgery with better or similar outcome compared to open surgery. A i...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Collegium Medicum of the University of Warmia and Mazury
2022
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/38142/1/Endoscopic%20endonasal%20-%20Copy.pdf http://ir.unimas.my/id/eprint/38142/ http://www.paom.pl/Endoscopic-endonasal-orbital-and-optic-nerve-decompression-nfor-traumatic-orbital,143184,0,2.html https://doi.org/10.29089/paom/143184 |
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| Summary: | I n t r o d u c t i o n : Orbital and optic nerve decompression has evolved over the years from an open surgery initially, to the current endoscopic approach. The
current endoscopic approach is popularized on the idea of a safer surgery with better or similar outcome compared to open surgery.
A i m : To review the outcomes of endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries in the Otorhinolaryngology-Head and Neck Surgery Department of a tertiary referral centre.
M a t e r i a l a n d m e t h o d s : A retrospective review of data on orbital and optic nerve decompression which was done on a total of 10 eyes involving 9 patients
from July 2015 to December 2017 were collected. Data that were collected inclu- des demographic data, visual assessment, time to surgery and surgical outcomes
with review of patients’ status within three months postoperatively.
R e s u l t s a n d d i s c u s s i o n : Among the 9 patients operated, four presented with diplopia, another four with blurring of vision (BOV) and one with both the
symptoms. Our review shows complete resolution of diplopia in 2 patients with another 3 reporting improvement in the symptom. Among the 5 patients with visual acuity impairment, 3 patients reported improvement while another 2 sho-
wed no worsening. There were no surgical complications reported throughout the study.
C o n c l u s i o n s : Endoscopic endonasal orbital and optic nerve decompression continues to evolve with increasing application in our surgical practice. Excellent
outcomes in patients’ status postoperatively should encourage us to consider endo-scopic endonasal orbital and optic nerve decompression as the surgical approach
of choice for such cases. |
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