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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: Lee, Eng Ssiang, Ng, Boon Han Kevin, Tang, Ing Ping
Format: Article
Language:English
Published: Collegium Medicum of the University of Warmia and Mazury 2022
Subjects:
RF Otorhinolaryngology
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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spelling my.unimas.ir.381422023-03-29T06:12:51Z http://ir.unimas.my/id/eprint/38142/ Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome Lee, Eng Ssiang Ng, Boon Han Kevin Tang, Ing Ping RF Otorhinolaryngology 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. Collegium Medicum of the University of Warmia and Mazury 2022-02-25 Article PeerReviewed text en http://ir.unimas.my/id/eprint/38142/1/Endoscopic%20endonasal%20-%20Copy.pdf Lee, Eng Ssiang and Ng, Boon Han Kevin and Tang, Ing Ping (2022) Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome. Polish Annals of Medicine (2022). pp. 1-5. ISSN 1230-8013 (In Press) 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
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Lee, Eng Ssiang
Ng, Boon Han Kevin
Tang, Ing Ping
Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
description 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.
format Article
author Lee, Eng Ssiang
Ng, Boon Han Kevin
Tang, Ing Ping
author_facet Lee, Eng Ssiang
Ng, Boon Han Kevin
Tang, Ing Ping
author_sort Lee, Eng Ssiang
title Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
title_short Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
title_full Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
title_fullStr Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
title_full_unstemmed Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome
title_sort endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: a review of outcome
publisher Collegium Medicum of the University of Warmia and Mazury
publishDate 2022
url 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
_version_ 1762396700103671808
score 13.211869

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