Optic nerve decompression through pterional and supraorbital approaches in the treatment of severe traumatic optic neuropathy.
Optic canal fracture
Optic nerve decompression
Pterional approach
Supraorbital approach
Traumatic optic neuropathy
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
09 Jul 2024
09 Jul 2024
Historique:
received:
13
02
2024
accepted:
22
06
2024
revised:
19
06
2024
medline:
9
7
2024
pubmed:
9
7
2024
entrez:
8
7
2024
Statut:
epublish
Résumé
To investigate the effectiveness of optic nerve decompression (OND) in the treatment of severe traumatic optic neuropathy (TON) through pterional and supraorbital approaches, and to identify the prognostic factor for postoperative visual acuity (VA) following OND. Patients with severe TON treated with OND through either pterional or supraorbital approach in our institute from September 2019 to June 2022 were retrospectively reviewed in this study. Demographic information, trauma factors, the interval between trauma and complete blindness, the interval between trauma and surgery, and the associated craniofacial traumas were recorded. Hospitalization days and the postoperative VA of patients in two groups were compared. There were 54 severe TON patients with NLP included in this study; 21 patients underwent OND through the pterional approach, and the other 33 underwent the supraorbital approach. Respectively, in groups of pterional and supraorbital approaches, the average hospitalization days were 9.8 ± 3.2 and 10.7 ± 2.9 days (p = 0.58), the mean durations of follow-up were 18.9 ± 4.3 and 20.8 ± 3.7 months (p = 0.09), and the average circumference of OND were 53.14 ± 15.89 ◦ (range 220 ◦ -278◦) and 181.70 ± 6.56◦ (range 173 ◦ -193◦) (p<0.001). The overall improvement rates of pterional and supraorbital approaches are 57.1% and 45.5% (p = 0.40), respectively. Optic canal fracture (OCF) was revealed to be significantly associated with postoperative VA in the supraorbital approach (Binary: p = 0.014, CI: 1.573-57.087; Ordinal: p = 0.003, CI: 1.517-5.503), but not in the pterional approach. In the group of supraorbital approach, patients with OFC had a higher rate of a better outcome (78.6%) than those without (21.4%). Patients with severe traumatic TON may benefit from OND through either the pterional or supraorbital approach. OCF is a potential prognostic factor for postoperative VA following OND through the supraorbital approach.
Identifiants
pubmed: 38977519
doi: 10.1007/s10143-024-02536-4
pii: 10.1007/s10143-024-02536-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
306Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Chen B, Zhang H, Zhai Q, Li H, Wang C, Wang Y (2022) Traumatic optic neuropathy: a review of current studies. Neurosurg Rev 45:1895–1913
doi: 10.1007/s10143-021-01717-9
pubmed: 35034261
McClenaghan FC, Ezra DG, Holmes SB (2011) Mechanisms and management of vision loss following orbital and facial trauma. Curr Opin Ophthalmol 22:426–431
doi: 10.1097/ICU.0b013e3283499420
pubmed: 21730843
Wladis EJ, Aakalu VK, Sobel RK, McCulley TJ, Foster JA, Tao JP et al (2021) Interventions for indirect traumatic optic neuropathy: a report by the American Academy of Ophthalmology. Ophthalmology 128:928–937
doi: 10.1016/j.ophtha.2020.10.038
pubmed: 33161071
Huang H, Chen L, Chopp M, Young W, Robert Bach J, He X et al (2021) The 2020 yearbook of neurorestoratology. J Neurorestoratology 9:1–12
doi: 10.26599/JNR.2021.9040002
pubmed: 37387779
Levin LA, Beck RW, Joseph MP, Seiff S, Kraker R (1999) The treatment of traumatic optic neuropathy: the international optic nerve trauma study. Ophthalmology 106:1268–1277
doi: 10.1016/S0161-6420(99)00707-1
pubmed: 10406604
Dhaliwal SS, Sowerby LJ, Rotenberg BW (2016) Timing of endoscopic surgical decompression in traumatic optic neuropathy: a systematic review of the literature. Int Forum Allergy Rhinol 6:661–667
doi: 10.1002/alr.21706
pubmed: 26782715
Sefi-Yurdakul N, Koç F (2018) Risk factors affecting the visual outcome in patients with indirect traumatic optic neuropathy. Int Ophthalmol 38:1647–1652
doi: 10.1007/s10792-017-0637-9
pubmed: 28681279
Gogela SL, Zimmer LA, Keller JT, Andaluz N (2018) Refining operative strategies for optic nerve decompression: a morphometric analysis of transcranial and endoscopic endonasal techniques using clinical parameters. Oper Neurosurg (Hagerstown) 14:295–302
doi: 10.1093/ons/opx093
pubmed: 29145656
Beer-Furlan A, Evins AI, Rigante L, Burrell JC, Anichini G, Stieg PE et al (2014) Endoscopic extradural anterior clinoidectomy and optic nerve decompression through a pterional port. J Clin Neurosci 21:836–840
doi: 10.1016/j.jocn.2013.10.006
pubmed: 24411319
Chen YH, Lin SZ, Chiang YH, Ju DT, Liu MY, Chen GJ (2004) Supraorbital keyhole surgery for optic nerve decompression and dura repair. J Neurotrauma 21:976–981
doi: 10.1089/0897715041526140
pubmed: 15307909
Yang Y, Wang H, Shao Y, Wei Z, Zhu S, Wang J (2006) Extradural anterior clinoidectomy as an alternative approach for optic nerve decompression: anatomic study and clinical experience. Neurosurgery 59:ONS253–262; discussion ONS262.
Rigante L, Evins AI, Berra LV, Beer-Furlan A, Stieg PE, Bernardo A (2015) Optic nerve decompression through a supraorbital approach. J Neurol Surg B Skull Base 76:239–247
doi: 10.1055/s-0034-1543964
pubmed: 26225308
pmcid: 4433391
Yu-Wai-Man P (2015) Traumatic optic neuropathy-clinical features and management issues. Taiwan J Ophthalmol 5:3–8
doi: 10.1016/j.tjo.2015.01.003
pubmed: 26052483
pmcid: 4457437
Lin J, Hu W, Wu Q, Zhang J, Yan W (2021) An evolving perspective of endoscopic transnasal optic canal decompression for traumatic optic neuropathy in clinic. Neurosurg Rev 44:19–27
doi: 10.1007/s10143-019-01208-y
pubmed: 31758337
Chaon BC, Lee MS (2015) Is there treatment for traumatic optic neuropathy? Curr Opin Ophthalmol 26:445–449
doi: 10.1097/ICU.0000000000000198
pubmed: 26448040
Huang J, Chen X, Wang Z, Deng S, Duan J, Lu G et al (2020) Selection and prognosis of optic canal decompression for traumatic optic neuropathy. World Neurosurg 138:e564–e578
doi: 10.1016/j.wneu.2020.03.007
pubmed: 32169622
Gao Y, Li J, Ma H, Nie C, Lv X, Lin X et al (2022) Endoscopic trans-ethmosphenoid optic canal decompression is an optimal choice to save vision for indirect traumatic optic neuropathy. Acta Ophthalmol 100:e491–e501
doi: 10.1111/aos.14951
pubmed: 34180149
Lin J, Hu W, Wu Q, Yi J, Liu Z, Zhou G et al (2020) Analysis of prognostic factors for the indirect traumatic optic neuropathy underwent endoscopic transnasal optic canal decompression. J Craniofac Surg 31:1266–1269
doi: 10.1097/SCS.0000000000006443
pubmed: 32282479
Yu-Wai-Man P, Griffiths PG (2013) Surgery for traumatic optic neuropathy. Cochrane Database Syst Rev 6:Cd005024
pubmed: 23780732
Karimi S, Arabi A, Ansari I, Shahraki T, Safi S (2021) A systematic literature review on traumatic optic neuropathy. J Ophthalmol 2021:5553885
doi: 10.1155/2021/5553885
pubmed: 33728056
pmcid: 7935564
Yang WG, Chen CT, Tsay PK, de Villa GH, Tsai YJ, Chen YR (2004) Outcome for traumatic optic neuropathy–surgical versus nonsurgical treatment. Ann Plast Surg 52:36–42
doi: 10.1097/01.sap.0000096442.82059.6d
pubmed: 14676697
Ma YJ, Yu B, Tu YH, Mao BX, Yu XY, Wu WC (2018) Prognostic factors of trans-ethmosphenoid optic canal decompression for indirect traumatic optic neuropathy. Int J Ophthalmol 11:1222–1226
pubmed: 30046543
pmcid: 6048333
Song Y, Li H, Ma Y, Li W, Zhang X, Pan X et al (2013) Analysis of prognostic factors of endoscopic optic nerve decompression in traumatic blindness. Acta Otolaryngol 133:1196–1200
doi: 10.3109/00016489.2013.822556
pubmed: 23919669
Yu B, Ma Y, Tu Y, Wu W (2016) The outcome of endoscopic transethmosphenoid optic canal decompression for indirect traumatic optic neuropathy with no-light-perception. J Ophthalmol 2016:6492858
doi: 10.1155/2016/6492858
pubmed: 27965891
pmcid: 5124648
Yan W, Chen Y, Qian Z, Selva D, Pelaez D, Tu Y et al (2017) Incidence of optic canal fracture in the traumatic optic neuropathy and its effect on the visual outcome. Br J Ophthalmol 101:261–267
pubmed: 27267448
Wohlrab TM, Maas S, de Carpentier JP (2002) Surgical decompression in traumatic optic neuropathy. Acta Ophthalmol Scand 80:287–293
doi: 10.1034/j.1600-0420.2002.800311.x
pubmed: 12059868
Martinez-Perez R, Albonette-Felicio T, Hardesty DA, Carrau RL, Prevedello DM (2021) Outcome of the surgical decompression for traumatic optic neuropathy: a systematic review and meta-analysis. Neurosurg Rev 44:633–641
doi: 10.1007/s10143-020-01260-z
pubmed: 32088777
Abhinav K, Acosta Y, Wang WH, Bonilla LR, Koutourousiou M, Wang E et al (2015) Endoscopic endonasal approach to the optic canal: anatomic considerations and surgical relevance. Neurosurg 11 Suppl 3:431–445; discussion 445–436
Luxenberger W, Stammberger H, Jebeles JA, Walch C (1998) Endoscopic optic nerve decompression: the Graz experience. Laryngoscope 108:873–882
doi: 10.1097/00005537-199806000-00016
pubmed: 9628503
Emanuelli E, Bignami M, Digilio E, Fusetti S, Volo T, Castelnuovo P (2015) Post-traumatic optic neuropathy: our surgical and medical protocol. Eur Arch Otorhinolaryngol 272:3301–3309
doi: 10.1007/s00405-014-3408-5
pubmed: 25472815
Hart CK, Theodosopoulos PV, Zimmer LA (2009) Anatomy of the optic canal: a computed tomography study of endoscopic nerve decompression. Ann Otol Rhinol Laryngol 118:839–844
doi: 10.1177/000348940911801203
pubmed: 20112517
Mesquita Filho PM, Prevedello DM, Prevedello LM, Ditzel Filho LF, Fiore ME, Dolci RL et al (2017) Optic canal decompression: comparison of 2 surgical techniques. World Neurosurg 104:745–751
doi: 10.1016/j.wneu.2017.04.171
pubmed: 28527685
Di Somma A, Cavallo LM, de Notaris M, Solari D, Topczewski TE, Bernal-Sprekelsen M et al (2017) Endoscopic endonasal medial-to-lateral and transorbital lateral-to-medial optic nerve decompression: an anatomical study with surgical implications. J Neurosurg 127:199–208
doi: 10.3171/2016.8.JNS16566
pubmed: 27791520