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Optic nerve injury secondary to endoscopic sinus surgery: An analysis of three cases

Authors
 Jin Young Kim  ;  Hyun Jun Kim  ;  Chang-Hoon Kim  ;  Jeung-Gweon Lee  ;  Joo-Heon Yoon 
Citation
 Yonsei Medical Journal, Vol.46(2) : 300-304, 2005 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2005
MeSH
Adult ; Blindness/etiology ; Endoscopy/adverse effects* ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Optic Nerve Injuries/diagnosis ; Optic Nerve Injuries/diagnostic imaging ; Optic Nerve Injuries/etiology* ; Paranasal Sinuses/surgery* ; Retrospective Studies ; Tomography, X-Ray Computed ; Vision Disorders/etiology ; Visual Acuity ; Visual Fields
Keywords
Optic nerve injury ; endoscopic sinus surgery
Abstract
Major orbital complications after the endoscopic sinus surgeries are rare and of these, optic nerve injury is one of the most serious. This study was to undertaken to analyze 3 cases of optic nerve injury after endoscopic sinus surgery. The three cases included one patient with a loss of visual acuity and visual field defect, and two patients with total blindness. In all cases, no improvement of visual acuity was observed despite treatment. It is important to frequently check the location and direction of the endoscope during surgery to avoid optic nerve injury. In addition, surgeons must have a precise knowledge of the detailed anatomy through cadaver dissections, an ability to interpret the PNS CT scan and experienced procedural surgical skills.
Files in This Item:
T200500113.pdf Download
DOI
10.3349/ymj.2005.46.2.300
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jin Young(김진영)
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Kim, Hyun Jun(김현준)
Yoon, Joo Heon(윤주헌)
Lee, Jeung Gweon(이정권)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147371
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