Transantral-ethmoidal decompression of optic canal fracture
J. S. Kennerdell, G. A. Amsbaugh and E. N. Myers
A case of indirect trauma to the optic nerve was successfully treated with
transethmoidal decompression. The literature was reviewed, and reports of
poor results from neurosurgical procedures are cited. Improved results from
transethmoidal decompression of the optic nerve have been reported by
Japanese authors but, in our opinion, without proper selection of cases.
Early diagnosis of traumatic compression of the intracanalicular optic
nerve as evidenced by delayed and/or progressive vision loss following
injury, coupled with prompt transantral-ethmoidal surgical decompression,
should yield gratifying results in the treatment of this uncommon
condition.