Transantral-Ethmoidal Decompression of Optic Canal Fracture

“Round the Clock” Surgical Access to the Orbit

“…Thyroid eye disease and traumatic optic neuropathy not responding to steroids have been successfully treated with endoscopic endonasal orbital and optic nerve decompressions. [12][13][14][15][16][17] Reports of orbital tumors that have been biopsied, resected, or decompressed through an EEA have increased in the last few years. [18][19][20][21] The EEA is now a widely accepted approach for the resection of skull base tumors including anterior, middle, and posterior fossae intradural tumors.…”

“Round the Clock” Surgical Access to the Orbit

“…Thyroid eye disease and traumatic optic neuropathy not responding to steroids have been successfully treated with endoscopic endonasal orbital and optic nerve decompressions. [12][13][14][15][16][17] Reports of orbital tumors that have been biopsied, resected, or decompressed through an EEA have increased in the last few years. [18][19][20][21] The EEA is now a widely accepted approach for the resection of skull base tumors including anterior, middle, and posterior fossae intradural tumors.…”

Endoscopically Assisted Transconjunctival Decompression of Traumatic Optic Neuropathy

“…The common sequelae of external ethmoidectomy approach was mild degree of postoperative enophthalmos, presumably because of the increased orbital volume from the removal of lamina papyracea. 7 The other extracranial approaches including transantral ethmoidectomy, 29 sublabial trans-sphenoidal route 30 modified from trans-sphenoidal hypophysectomy technique, the lateral facial approach 31 and midfacial translocation approach 32 had been reported, but did not become a popular technique. In general, all of these external extracranial approaches inevitably developed an external facial stigma.…”

Traumatic Optic Neuropathy and Second Optic Nerve Injuries

“…3 Later surgical approaches involved external or transantral ethmoidectomy and, more recently, a combined transconjunctival and intranasal endoscopic approach. [4][5][6][7][8] In 1982, Anderson et al 9 proposed the use of high-dose corticosteroids for TON based on the observation that such treatment was effective in reducing traumatic central nervous system edema. 10 Although the spinal cord and optic nerve are very different structures, many believed that the Second National Acute Spinal Cord Injury Study in 1990 provided further support for corticosteroid intervention within the first 8 hours of optic nerve injury, 11 spurring the advocacy of rapid intervention in the form of a specific dose of methylprednisolone sodium succinate alone or in combination with optic nerve decompression surgery.…”

“Round the Clock” Surgical Access to the Orbit

“…Thyroid eye disease and traumatic optic neuropathy not responding to steroids have been successfully treated with endoscopic endonasal orbital and optic nerve decompressions. [12][13][14][15][16][17] Reports of orbital tumors that have been biopsied, resected, or decompressed through an EEA have increased in the last few years. [18][19][20][21] The EEA is now a widely accepted approach for the resection of skull base tumors including anterior, middle, and posterior fossae intradural tumors.…”

Endoscopically Assisted Transconjunctival Decompression of Traumatic Optic Neuropathy

“…The common sequelae of external ethmoidectomy approach was mild degree of postoperative enophthalmos, presumably because of the increased orbital volume from the removal of lamina papyracea. 7 The other extracranial approaches including transantral ethmoidectomy, 29 sublabial trans-sphenoidal route 30 modified from trans-sphenoidal hypophysectomy technique, the lateral facial approach 31 and midfacial translocation approach 32 had been reported, but did not become a popular technique. In general, all of these external extracranial approaches inevitably developed an external facial stigma.…”

Traumatic Optic Neuropathy and Second Optic Nerve Injuries

“…3 Later surgical approaches involved external or transantral ethmoidectomy and, more recently, a combined transconjunctival and intranasal endoscopic approach. [4][5][6][7][8] In 1982, Anderson et al 9 proposed the use of high-dose corticosteroids for TON based on the observation that such treatment was effective in reducing traumatic central nervous system edema. 10 Although the spinal cord and optic nerve are very different structures, many believed that the Second National Acute Spinal Cord Injury Study in 1990 provided further support for corticosteroid intervention within the first 8 hours of optic nerve injury, 11 spurring the advocacy of rapid intervention in the form of a specific dose of methylprednisolone sodium succinate alone or in combination with optic nerve decompression surgery.…”

“Round the Clock” Surgical Access to the Orbit

“…Thyroid eye disease and traumatic optic neuropathy not responding to steroids have been successfully treated with endoscopic endonasal orbital and optic nerve decompressions. [12][13][14][15][16][17] Reports of orbital tumors that have been biopsied, resected, or decompressed through an EEA have increased in the last few years. [18][19][20][21] The EEA is now a widely accepted approach for the resection of skull base tumors including anterior, middle, and posterior fossae intradural tumors.…”

Endoscopically Assisted Transconjunctival Decompression of Traumatic Optic Neuropathy

“…The common sequelae of external ethmoidectomy approach was mild degree of postoperative enophthalmos, presumably because of the increased orbital volume from the removal of lamina papyracea. 7 The other extracranial approaches including transantral ethmoidectomy, 29 sublabial trans-sphenoidal route 30 modified from trans-sphenoidal hypophysectomy technique, the lateral facial approach 31 and midfacial translocation approach 32 had been reported, but did not become a popular technique. In general, all of these external extracranial approaches inevitably developed an external facial stigma.…”

Traumatic Optic Neuropathy and Second Optic Nerve Injuries

“…3 Later surgical approaches involved external or transantral ethmoidectomy and, more recently, a combined transconjunctival and intranasal endoscopic approach. [4][5][6][7][8] In 1982, Anderson et al 9 proposed the use of high-dose corticosteroids for TON based on the observation that such treatment was effective in reducing traumatic central nervous system edema. 10 Although the spinal cord and optic nerve are very different structures, many believed that the Second National Acute Spinal Cord Injury Study in 1990 provided further support for corticosteroid intervention within the first 8 hours of optic nerve injury, 11 spurring the advocacy of rapid intervention in the form of a specific dose of methylprednisolone sodium succinate alone or in combination with optic nerve decompression surgery.…”