Endoscopic endonasal intracanalicular optic nerve decompression: how I do it.

Abstract:

BACKGROUND:The endoscopic endonasal approach for optic nerve decompression is suited for the management of non-traumatic optic neuropathy but remains underreported, presumably due to transcranial approaches still being favoured at individual centres. METHOD:The optic canal is approached endoscopically and transsphenoidally through the contralateral nostril. Its inferomedial wall is opened using an irrigated diamond drill, and neuronavigation is used to confirm anatomical bearings. CONCLUSION:This technique provides rapid and easy access to the inferomedial aspect of the optic canal and nerve. Optic nerve decompression through this approach is associated with low morbidity and should be considered as an alternative to transcranial approaches.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Cabrilo I,Dorward NL

doi

10.1007/s00701-020-04476-6

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

2129-2134

issue

9

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-020-04476-6

journal_volume

162

pub_type

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