The Role of Endonasal Endoscopic Optic Nerve Decompression as the Initial Management of Primary Optic Nerve Sheath Meningiomas.

ABSTRACT: Background  The management of optic nerve sheath meningiomas (ONSMs) remains controversial. Surgical decompression through traditional resective techniques has been associated with significant morbidity. While radiation therapy, the current modality of choice is not exempt of risks. Transnasal endoscopic optic nerve decompression (EOND) offers a direct route to the orbit, optic canal, and orbital apex, providing a minimally invasive alternative. Objective  The main objective of this article is to assess EOND as the initial management of symptomatic patients with primary ONSM. Methods  Patients with ONSMs without a history of radiotherapy who underwent EOND were retrospectively reviewed. Postoperative imaging, duration of follow-up, and visual outcomes at the last ophth

SUBMITTER: Maza G 

PROVIDER: S-EPMC6864426 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature