内镜经鼻视神经减压术治疗外伤性视神经损伤：我的操作方法。
Endoscopic endonasal decompression for traumatic optic nerve injury: how I do it.
机构信息
Department of Neurosurgery, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, 215000, China.
Department of Neurosurgery, The Fourth Affiliated Hospital of Soochow University, Suzhou, 215000, China.
出版信息
Acta Neurochir (Wien). 2024 Nov 4;166(1):436. doi: 10.1007/s00701-024-06337-y.
BACKGROUND
Endoscopic Endonasal Decompression for Traumatic Optic Nerve Injury has become an established endoscopic technique. However, Poor sphenoid sinus pneumatization often obscures landmarks, elevating the risk to vital neurovascular structures.
METHOD
By decompressing the orbital apex region and determining the contour of the optic nerve, sequential decompression of the medial wall, superomedial wall, and inferomedial wall of the optic canal.
CONCLUSION
This surgical technique can gradually reveal the contour of the optic canal when the anatomical landmarks on the lateral wall of the sphenoid sinus are unclear, ensuring the surgery can be completed safely and effectively.
背景
经鼻内镜视神经减压术已成为治疗外伤性视神经损伤的一种成熟的内镜技术。然而，蝶窦气化不良常常会使解剖标志变得模糊，增加对重要的神经血管结构的损伤风险。
方法
通过对眶尖区域进行减压，并确定视神经的轮廓，依次对视神经管的内侧壁、上内侧壁和下内侧壁进行减压。
结论
当蝶窦外侧壁的解剖标志不清楚时，这种手术技术可以逐渐显示视神经管的轮廓，确保手术安全有效地完成。
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