Przeznosowy dostęp endoskopowy celem odbarczenia nerwu wzrokowego
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 3
Abstract
Optic nerve decompression is nowadays increasingly performed using endoscopic technique. The aim of this report is to present a clinical series of 8 patients operated on with this technique due to posttraumatic loss of vision and other visual disturbances. Technical details of this procedure and surgical anatomy will also be discussed. Material and methods. Endoscopic optic nerve decompression was performed in eight patients using transnasal transethmoidal approach. The loss of vision was caused by posttraumatic optic neuropathy in 6 patients, optic neuritis in 1 patient and by cystic lesion of the orbital apex and sphenoid sinus in 1 patient. Results. Vision acuity improvement was achieved in 4 patients (50%). Complications included intraoperative cerebrospinal fl uid leak occurred in 2 patients. In one of them the leak had to be sealed using intracranial approach. Conclusions. Endoscopic optic nerve decompression can be used in appropriately selected patients with optic nerve lesions to improve the visual functions. High technical skill, proper endowment and thorough knowledge of surgical anatomy are prerequisites of success. Good interdisciplinary cooperation between the laryngologist and neurosurgeon helps in minimizing the risk of serious complications, especially in posttraumatic cases.
Authors and Affiliations
Andrzej Sieśkiewicz, Tomasz Łysoń, Marek Rogowski, Zenon Mariak
Keywords
Related Articles
- EP ID EP51492
- DOI -
- Views 119
- Downloads 0
Nowotwory złośliwe jamy ustnej i szyi w materiale Kliniki Chirurgii Szczękowo-Twarzowej w Poznaniu w okresie 2002–2004
Increasing number of malignant neoplasms of the oral cavity and facial region as well as lower age of the patients hospitalized were the interest of the authors. Material and methods. Clinical data from the years 2002–20...
Assessment of short-term functional voice therapy in patients with unilateral paralysis of the larynx
Introduction Laryngeal paralysis deteriorates all laryngeal functions. Therefore the therapeutic process must include restoration of respiratory, defensive and vocal function. Selection of a proper rehabilitation path pl...
The role of otolaryngologist - head and neck surgeon's in the treatment of thyroid cancer
Introduction: Thyroid gland is an integral part of the neck region. In the topographic anatomy of the head and neck the gland is located in the middle triangle of the neck. Therefore, it is an organ which is also subject...
Osteoradionecrosis of the temporal bone
SUMMARY Introduction: Radiotherapy is an effective, modern method of treating malig-nant neoplasms of head and neck and also intracranial tumours. Technological development and computerization of equipment used in radiot...
Pharyngeal constrictor muscles closure after total laryngectomy is that really benefi cial?
High pressure of pharyngo-esophageal segment is the most important factor of impaired development of alaryngeal speech (esophageal speech, tracheoesophageal speech) after total laryngectomy. To prevent pharyngo-esophagea...