Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Optic Nerve Decompression for Traumatic Optic Neuropathy: A Case Report

외상성 시신경병증의 시신경 감압술을 통한 치험례

  • Hyun, Kyung Bae (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Kim, Sun Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Choi, Jong Woo (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Kim, Yong Oock (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Park, Beyoung Yun (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
  • 현경배 (연세대학교 의과대학 인체조직복원연구소. 성형외과학교실) ;
  • 김선호 (연세대학교 의과대학 신경외과학교실) ;
  • 최종우 (연세대학교 의과대학 인체조직복원연구소. 성형외과학교실) ;
  • 김용욱 (연세대학교 의과대학 인체조직복원연구소. 성형외과학교실) ;
  • 박병윤 (연세대학교 의과대학 인체조직복원연구소. 성형외과학교실)
  • Received : 2004.10.21
  • Published : 2005.05.10
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Abstract

A case of visual loss following cranio-maxillofacial trauma is reported. The patient had acute optic nerve injury associated with a fracture of the right zygomaticomaxillary and fronto-naso-ethmoido-orbital bone and epidural hematoma on the right temporal lobe of brain. Bony fragments compressing the optic nerve on lateral side was identified on computed tomography. Decompression of the optic nerve combined with evacuation of epidural hematoma has been performed via transfrontal craniotomy. The patient had complete recovery of visual acuity without any complications. The role of optic nerve decompression in the management of patients with traumatic optic neuropathy is discussed. Surgical indication is controversial and the procedure should be considered only within the context of the specific indication of the individual patient.

Keywords

Acknowledgement

Supported by : 한국학술진흥재단

References

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