LONG‐TERM OUTCOME OF OPTIC NERVE ENCASEMENT AND OPTIC NERVE DECOMPRESSION IN PATIENTS WITH FIBROUS DYSPLASIA: RISK FACTORS FOR BLINDNESS AND SAFETY OF OBSERVATION
@article{Cutler2006LONGTERMOO, title={LONG‐TERM OUTCOME OF OPTIC NERVE ENCASEMENT AND OPTIC NERVE DECOMPRESSION IN PATIENTS WITH FIBROUS DYSPLASIA: RISK FACTORS FOR BLINDNESS AND SAFETY OF OBSERVATION}, author={Carolee M Cutler and Janice S. Lee and John A. Butman and Edmond J FitzGibbon and Marilyn H. Kelly and Beth A. Brillante and Penelope P. Feuillan and Pamela Gehron Robey and Craig R. Dufresne and Michael T Collins}, journal={Neurosurgery}, year={2006}, volume={59}, pages={1011–1018} }
OBJECTIVEFibrous dysplasia (FD) of bone may occur solely as a skeletal condition or it may occur in association with extraskeletal manifestations, including growth hormone (GH) excess. Uncertainty exists as to the management of FD involving the optic nerves. In an effort to clarify management, the authors studied a large population of patients. METHODSOne hundred four patients underwent an evaluation that includedreview of records, endocrine testing, cranial computed tomography, and neuro…
72 Citations
Reply: Fibrous Dysplasia: Management of the Optic Canal.
- MedicinePlastic and reconstructive surgery
- 2016
None of their patients developed blindness with prophylactic unroofing, and the authors cannot say that this procedure was effective in the long run in preventing chronic compressive optic neuropathy and visual loss, but hand surgeons tell us that there is a better outcome with release of median nerve compression if it is performed early.
Fibrous Dysplasia: Management of the Optic Canal
- MedicinePlastic and reconstructive surgery
- 2015
The authors believe prophylactic unroofing is safe, and it should be performed not necessarily as a primary surgical procedure, but as a procedure along with excision of fibrous dysplasia in the anterior skull base during the same operation performed for orbitocranial deformity.
Endoscopic optic nerve decompression for optic neuropathy in sinonasal fibro-osseous tumors.
- MedicineWorld neurosurgery
- 2020
Optical Coherence Tomography in the Management of Skull Base Fibrous Dysplasia with Optic Nerve Involvement.
- MedicineWorld neurosurgery
- 2018
Fibrous Dysplasia: Management of the Optic Canal.
- MedicinePlastic and reconstructive surgery
- 2016
It is strongly recommend against prophylactic optic nerve decompression based on the aforementioned meta-analysis data and the experience from the natural history protocol ongoing at the National Institutes of Health.
Surgery versus Watchful Waiting in Patients with Craniofacial Fibrous Dysplasia – a Meta-Analysis
- MedicinePloS one
- 2011
Most patients with CFD will remain asymptomatic during long-term follow-up and expectant management is recommended in asymPTomatic patients even in the presence of radiological evidence of ONC.
Endoscopic Endonasal Optic Nerve Decompression for Fibrous Dysplasia
- MedicineJournal of neurological surgery. Part B, Skull base
- 2017
EEA for optic nerve decompression appears to be a safe and effective treatment for patients with compressive optic neuropathy secondary to fibrous dysplasia.
Fibrous dysplasia of the orbital region: Series of 12 cases and review of the literature.
- MedicineJournal francais d'ophtalmologie
- 2020
Craniofacial fibrous dysplasia: A 10-case series.
- MedicineEuropean annals of otorhinolaryngology, head and neck diseases
- 2017
Craniofacial Fibrous Dysplasia Involving the Orbit: A Case Report and Literature Review
- MedicineAsia-Pacific journal of ophthalmology
- 2015
A case report and literature review of a 12-year-old Chinese girl who developed progressive visual loss in association with craniofacial fibrous dysplasia involving the orbit found that immediate surgical referral and early optic nerve decompression is recommended upon onset of visual loss.
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