Traumatic Optic Neuropathy Complicating Facial Fracture Repair
| Autor: | Arthur M. Lauretano, Michael P. Joseph, Kasey K. Li, Theodoros N. Teknos |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Facial trauma Surgical results medicine.medical_specialty genetic structures Blindness Facial Bones Primary repair Adrenal Cortex Hormones Optic nerve injury Humans Medicine In patient Skull Fractures business.industry Nerve Compression Syndromes Traumatic optic neuropathy food and beverages Optic Nerve General Medicine Middle Aged medicine.disease eye diseases Surgery stomatognathic diseases Otorhinolaryngology Optic Nerve Injuries Female Emergencies Tomography X-Ray Computed business Optic nerve decompression |
| Zdroj: | Journal of Craniofacial Surgery. 8:352-355 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/00001665-199708050-00004 |
| Popis: | Blindness can result from traumatic optic neuropathy following facial trauma and can complicate the management of concomitant facial fractures. Traumatic optic neuropathy can cause a substantial delay in the repair of facial fractures, leading to compromised surgical results. It can also result in postoperative visual loss following facial fracture repair. We present four cases of traumatic optic neuropathy that compromised the treatment of facial fractures. The management of facial fractures in patients with traumatic optic neuropathy must proceed cautiously. Delayed primary repair of midface fractures by postponing surgery for 10 to 14 days may be of benefit in avoiding further deterioration of vision. In addition, megadose corticosteroids and/or optic nerve decompression is useful in the management of these patients. |
| Databáze: | OpenAIRE |
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