2003
DOI: 10.1016/s0002-9394(02)01941-4
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Optic neuropathy produced by a compressed mucocele in an onodi cell

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Cited by 46 publications
(22 citation statements)
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“…Drainage by endonasal sinus surgery is frequently performed if the lesion is large enough. 2,10) In our case, considering the anatomical relationship of the small flat mucocele covering the optic nerve, transcranial unroofing would be preferable to avoid injury to the optic nerve. 4) In addition, the epidural approach seems better than the intradural approach to avoid injury of the brain parenchyma, leakage of cerebrospinal fluid (CSF), and contamination of mucocele content into the CSF.…”
Section: Discussionmentioning
confidence: 83%
“…Drainage by endonasal sinus surgery is frequently performed if the lesion is large enough. 2,10) In our case, considering the anatomical relationship of the small flat mucocele covering the optic nerve, transcranial unroofing would be preferable to avoid injury to the optic nerve. 4) In addition, the epidural approach seems better than the intradural approach to avoid injury of the brain parenchyma, leakage of cerebrospinal fluid (CSF), and contamination of mucocele content into the CSF.…”
Section: Discussionmentioning
confidence: 83%
“…The microbiology of these complications differs from that of ARS. 825 Direct involvement or chronic inflammatory changes near the orbit can lead to enophthalmos, 826 epiphora, 827 diplopia, 828 proptosis, 829 optic neuropathy, 830,831 and vision loss. [832][833][834] Fungal or bacterial invasion along the skull base can lead to an epidural abscess or cavernous sinus thrombosis.…”
Section: Viif Crssnp: Complicationsmentioning
confidence: 99%
“…Firstly, as a result of its proximity to the optic nerve, sinus infection of the Onodi cells can result in contiguous infection of the nerve and, in turn, optic neuropathy. Mucocoeles of Onodi cells have also been reported to cause unilateral as well as bilateral visual loss [15][16][17]. Secondly the risk of optic nerve injury, a devastating complication of endoscopic sinus surgery, is increased [14].…”
Section: Discussionmentioning
confidence: 99%