The Ohio State University College of Medicine, Columbus, OH, USA.
Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, OH, USA.
Acta Neurochir (Wien). 2024 Mar 11;166(1):129. doi: 10.1007/s00701-024-05994-3.
Many lesions in the anterior skull base may compress the optic nerve (ON), leading to vision loss, and even irreversible blindness. Although decompression of the optic nerve has traditionally been achieved transcranially, the endoscopic endonasal approach (EEA) is gaining traction as a minimally invasive approach recently.
We describe the key steps of an EEA ON decompression. The relevant surgical anatomy with illustration is described. Additionally, a video detailing our technique and instruments on an illustrative case is provided.
Endoscopic endonasal approach ON decompression with a straight feather blade is a feasible, minimally invasive procedure to decompress the ON in the setting of anterior skull base mass lesions.
许多前颅底病变可能压迫视神经（ON），导致视力丧失，甚至不可逆转的失明。尽管传统上通过经颅方法实现视神经减压，但内镜经鼻入路（EEA）最近作为一种微创方法逐渐受到关注。
我们描述了 EEA 视神经减压的关键步骤。并结合插图描述了相关的手术解剖结构。此外，还提供了一个详细说明我们技术和器械的视频，展示了一个典型病例。
内镜经鼻入路联合直形羽毛刀视神经减压术是一种可行的、微创的方法，可用于治疗前颅底肿块病变导致的视神经压迫。
