Korean J Otorhinolaryngol-Head Neck Surg.  2010 Apr;53(4):232-235. 10.3342/kjorl-hns.2010.53.4.232.

2 Cases of Optic Nerve Decompression of Two Traumatic Optic Neuropathies Using Intranasal Endoscope

• Noh W
• Moon J
• Jung T
• Kwon J

• KMID: 1455690
• DOI: http://doi.org/10.3342/kjorl-hns.2010.53.4.232

Abstract

Traumatic optic neuropathy is a complication resulting from facial trauma, with an incidence of 2% to 5%. The most widely accepted treatments include observation, high dose steroid, surgical decompression and combination therapy of steroid and surgical treatment. However, there has been no established mode of treatment and there are still debates about what the best treatment should be for the patients with optic canal fracture. We experienced two cases of traumatic optic neuropathies due to intracanalicular fracture of the optic canal after trauma. Surgical decompression was performed using an endoscope int-ranasally one day after injury as required for minimal invasive surgery. We report the results and progression of these two cases.

Keyword

Traumatic optic neuropathy; Endoscopic decompression

MeSH Terms

Decompression
Decompression, Surgical
Endoscopes
Humans
Incidence
Optic Nerve
Optic Nerve Injuries