Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Plastic Surgery
- Vascular Surgery
- Transplant Surgery
- Ophthalmic Surgery
- Otolaryngology - Head and Neck Surgery
- Endocrine Surgery
- Robotic Surgery
- Emergency Surgery
Abstract
Citation: Clin Surg. 2016;1(1):1159.Case Report | Open Access
"Apartment" Decompression for Saving Optic Nerve in Fronto-Orbital Fibrous Dysplasia: Strategy and Advantage
Yunhe Lu, Abdulsamad Ghanem, Junyi Yang Master and Xiongzheng Mu
Division of Plastic Surgery, Fudan University, China
*Correspondance to: Xiongzheng Mu
PDF Full Text DOI: 10.25107/2474-1647.1159
Abstract
Background: During the past decades, surgical intervention is the primary treatment modality for fronto-orbital fibrous dysplasia involving optic nerve. However, controversy has surrounded the role of intra-canal decompression in a number of ways.
Objective: Our philosophy of saving optic nerve is that treatment paradigms should be tailored to the individual. Herein, we describe three patients with fronto-orbital fibrous dysplasia involving optic nerve who underwent an “Apartment” sub-craniotomy strategy with navigation for intraorbital unit optic nerve decompression.Methods: From 2013 to 2015, three patients with fronto-orbital fibrous dysplasia were investigated in a retrospective fashion. They underwent unilateral intra-orbital optic nerve decompression with the help of “Apartment” strategy and navigation. The key procedures comprise preoperative simulation, fronto-orbital sub-craniotomy (like entering apartment), expanding cone-shaped surgical field, intra-orbital unit optic nerve decompression with navigation, correcting frontalorbital dystopias and deformities.
Results: Both at the immediate postoperative period and the 3-12months follow-up, two cases showed improvement of visual acuity in the affected eye and one case showed no deterioration. Other ocular exams including eye movement were stable. Subsequent reconstruction yielded a satisfactory cosmetic result. No postoperative complications happened.Conclusion: In our philosophy, surgical management should be tailored to each patient, which is based on the most possible potential etiology. We consider the intra-orbital optic nerve decompression may be more feasible and safer with the help of “Apartment” strategy and navigation, especially for those with exophthalmos, orbital volume decreasing, and non-acute visual loss.
Keywords
"Apartment" sub-craniotomy; Fronto-orbital fibrous dysplasia; Intra-orbital unit; Navigation; Optic nerve decompression
Cite the article
Lu Y, Ghanem A, Master JY, Mu X. �Apartment� Decompression for Saving Optic Nerve in Fronto-Orbital Fibrous Dysplasia: Strategy and Advantage. Clin Surg. 2016; 1: 1159.