Original article

Early Surgical Treatment by Intracranial Approach in Treating Traumatic Optic Neuropathy Caused by Cranial-orbito-zygomatic Complex Fractures

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Online published: 2020-07-23

Abstract

Objective To explore the effect of early intracranial optic nerve decompression and internal fixation in treating cranial-orbito-zygomatic complex fractures with traumatic optic neuropathy (TON). Methods From January 2011 to January 2013, 15 patients with TON caused by cranial-orbito-zygomatic complex fractures were retrospectively analyzed. Visual recovery were observed and recorded before and after optic nerve decompression. Results The periods between the injury and operation were ranged from 8 to 45 hours. All patients had optic canal fractures and visual loss before surgery. All the patients were followed up for 6 months. The visual acuity improvement was achieved in 10 patients after optic nerve decompression. Conclusion Early single-stage repair of orbitozygomatic complex fractures and intracranial optic nerve decompression are effective and safe for patients with traumatic optic neuropathy.

Cite this article

CHENG Zhihua,LUO Cong,GUO Yu,GUO Zhilin . Early Surgical Treatment by Intracranial Approach in Treating Traumatic Optic Neuropathy Caused by Cranial-orbito-zygomatic Complex Fractures[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2015 , 11(3) : 156 -165 . DOI: 10.3969/j.issn.1673-0364.2015.03.010

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