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79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

30.04. - 04.05.2008, Bonn

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Trannasal endoscopic optic nerve decompression

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  • corresponding author Andrzej Sieskiewicz - Univ.HNO-Klinik, Bialystok, Polen
  • Marek Rogowski - Dept. Otolaryngology, Medical University, 15-276 Bialystok, Poland
  • Tomasz Lyson - Dept. Neurosurgery, Medical University, 15-276 Bialystok, Poland
  • Zenon Mariak - Dept. Neurosurgery, Medical University, 15-276 Bialystok, Poland

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Bonn, 30.04.-04.05.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. Doc08hnod112

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2008/08hnod112.shtml

Published: April 22, 2008

© 2008 Sieskiewicz et al.
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Outline

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Optic nerve neuropathy may be seen in up to 5% of patients after closed head trauma. There is still lack of consensus regarding optimal therapeutic management of these patients. Although administration of high doses of glucocorticosteroids is widely accepted, long term results of this therapy are not satisfactory. Endoscopic optic nerve decompression, the procedure far less traumatic that neurosurgical endocranial approach gives the patient additional chance for optimal optic nerve recovery.

We present our experience considering endoscopic optic nerve decompression in patients with traumatic optic neuropathy. Most of the patients were referred to our clinic from other hospitals, so they were subjected to different regimens of preoperative steroids and sometimes the delay of the operative procedure was extended to several days.

Decompression of the optic nerve may be beneficial to the patients with traumatic optic neuropathy provided that the appropriate pharmacological and surgical treatment is introduced at the right time. Each time the decision of the surgical intervention should be made individually according to general clinical state of the patient as well as his ophtalmological symptoms intensity.