Analysis of prognostic factors of endoscopic optic nerve decompression in traumatic blindness

被引：32

作者：

Song, Yexun ^{[1
]}

Li, Heqing ^{[1
]}

Ma, Yanhong ^{[1
]}

Li, Wei ^{[1
]}

Zhang, Xiaowei ^{[1
]}

Pan, Xueying ^{[2
]}

Tan, Guolin ^{[1
]}

机构：

[1] Cent South Univ, Dept Otolaryngol Head Neck Surg, Xiangya Hosp 3, Changsha 410013, Hunan, Peoples R China

[2] Cent South Univ, Dept Otolaryngol Head Neck Surg, Xiangya Hosp 2, Changsha 410013, Hunan, Peoples R China

来源：

ACTA OTO-LARYNGOLOGICA | 2013年 / 133卷 / 11期

关键词：

Trauma; transnasal endoscopy; prognosis; ethmoid sinus; sphenoid sinus; traumatic optic neuropathy; NEUROPATHY; MANAGEMENT;

D O I：

10.3109/00016489.2013.822556

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Conclusions: Hemorrhage within the ethmoid and/or sphenoid sinus and an interval between the time of injury and the time of operation exceeding 3 days are the risk factors for the visual prognosis of traumatic blindness. Objectives: To investigate the therapeutic efficacy of endoscopic optic nerve decompression in the treatment of traumatic blindness and to evaluate the relevant prognostic factors. Methods: Eighty-five cases of traumatic blindness were analyzed retrospectively. Univariate analysis and multiple logistic regression were performed to evaluate potential prognostic factors. Results: The overall rate of vision acuity improvement was 44.7% (38 of 85). Univariate analysis indicated that hemorrhage within the ethmoid and/or sphenoid sinus was significantly associated with unrecovered visual acuity. However, multiple logistic regression analysis identified that an interval between the time of injury and the time of operation exceeding 3 days, and hemorrhage within the ethmoid and/or sphenoid sinus were significantly correlated with the efficacy of treatment of traumatic blindness.

引用

页码：1196 / 1200

页数：5

共 14 条

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