Transcranial Correction of Orbital Neurofibromatosis

Snyder, Brett J.; Hanieh, A.; Trott, James A.; David, David J.

doi:10.1097/00006534-199809010-00005

Cited by 35 publications

(9 citation statements)

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“…Along with the development in studies of optic nerve anatomy and its injury mechanism, decompression of the optic nerve has been gradually applied in the treatment for traumatic optic nerve injuries [2,4,5]. However, most of the reports are only limited to operative approaches, indications, opportunities and effectiveness for the treatment of the optic nerve injury, and systematic reviews on the treatment for this special case of multicranial nerves are deficient.…”

Section: Discussionmentioning

confidence: 99%

Study on the treatment of traumatic orbital apex syndrome by nasal endoscopic surgery

Xiao

et al. 2010

Eur Arch Otorhinolaryngol

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Orbital apex syndrome (OAS) is a complex disease caused by a variety of pathological factors, and trauma is one of the main factors/causes. Clinical data of 17 cases of traumatic OAS treated by nasal endoscopic surgery in our department from January 2002 to April 2009 were gathered and reviewed. Among them, the six patients presented with OAS after injury to the lateral wall of orbital apex. Seven other patients exhibited OAS after injury to the medial wall of orbital apex, two displayed OAS after zygomatic trauma, while OAS manifested in the other two patients with craniocerebral trauma 3 days after they had decompressive craniotomy--of them, one was blind in both eyes. In the 17 cases, 6 patients were without light sensation, 1 was blind in both eyes; the sight-chart index of eight patients was 0.1, that of three other patients was 0.1-0.2. Fifteen patients displayed eyeball movement disturbance (disorder) and cornea sensory disturbance (disorder), two were with the eyeball abducent disturbance. After the nasal endoscopic surgeries for OAS performed on the 17, the sight of the most patients was restored in varying degrees. The sight of nine patients was between 0.2 and 0.3, that of two patients was between 0.1 and 0.2, that of the other two patients was 0.1, and that of four patients remained unchanged. The eyeball movement and the cornea esthesia in 15 patients recovered from the surgeries, one patient recovered with good eyeball adducent movement and the cornea esthesia but with eyeball abducent disturbance, the other patient did not make a recovery from the eyeball immobility, cornea anesthesia and ptosis. A follow-up lasting 2 months to 2 years suggested that the 16 patients had stable recovery from the surgeries. Satisfactory results could be achieved in the treatment of traumatic OAS by nasal endoscopic surgery. From objective assessment of the therapeutic effects of traumatic OAS, it can be concluded that if a patient is diagnosed with fractures of the optic canal and the superior and medial walls of orbital apex, nasal endoscopic decompression of superior and medial walls of orbital apex and optic canal via the approach to the sphenoid and ethmoid sinuses is the most ideal operative therapy.

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Section: Discussionmentioning

confidence: 99%

Study on the treatment of traumatic orbital apex syndrome by nasal endoscopic surgery

Xiao

et al. 2010

Eur Arch Otorhinolaryngol

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“…In our series, one patient presented 2 years after transcranial orbit reconstruction with recurrent orbital plexiform neurofibroma and new optic atrophy. Recurrent proptosis has also been described after surgery associated with orbital bone graft resorption …”

Section: Discussionmentioning

confidence: 99%

Long‐term visual outcomes in patients with orbitotemporal neurofibromatosis

Greenwell

Anderson

Madge

et al. 2013

Clinical Exper Ophthalmology

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“…This defect of the sphenoid can be closed using bone grafts. 31,32 However, the results of this procedure are not entirely sustainable and the bone grafts may be resorbed. 31,32 This has led to titanium mesh being used to cover the defect.…”

Section: Discussionmentioning

confidence: 99%

“…31,32 This has led to titanium mesh being used to cover the defect. 32 Bearing in mind the extensive orbitocranial procedure required to correct the orbital anatomy, the risk of bone graft resorption, and the severe anisometropic amblyopia, a decision against surgical intervention was made in the case described here (Patient 5).…”

Section: Discussionmentioning

confidence: 99%

Neuro-ophthalmological findings in neurofibromatosis type 1

Pinna

Carta

Demontis

et al. 2004

Neuro-Ophthalmology

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Objectives: To describe the neuro-ophthalmological findings in five patients with neurofibromatosis type 1 (NF-1). Methods: Retrospective case series. Results: Five patients (3 males, 2 females) with NF-1 who showed neuro-ophthalmogical findings were included in this study. Their ages ranged from one to 28 years (mean: 8 years).Two patients had glioma of the optic chiasm, one glioma of the optic nerve, one orbitotemporal plexiform neurofibroma and glioma of the optic chiasm, and one absence of the greater sphenoid wing. Conclusions: Patients with NF-1 may show different neuro-ophthalmological findings. Lesions tend to develop early in life and might have a favorable long-term natural history. Given the potential for serious visual loss, close follow-up until adolescence is recommended.

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Transcranial Correction of Orbital Neurofibromatosis

Cited by 35 publications

References 0 publications

Study on the treatment of traumatic orbital apex syndrome by nasal endoscopic surgery

Study on the treatment of traumatic orbital apex syndrome by nasal endoscopic surgery

Long‐term visual outcomes in patients with orbitotemporal neurofibromatosis

Neuro-ophthalmological findings in neurofibromatosis type 1

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