Carlos Butrón-Díaz1, Mónica Rivero-Garvia2,3, Javier Márquez-Rivas2,3,4. 1. Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, S/N, 41013, Seville, Spain. carlosbutron91@gmail.com. 2. Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, S/N, 41013, Seville, Spain. 3. Group of Applied Neuroscience, Biomedicine Institute of Seville, Seville, Spain. 4. Advanced Neurology Center, Seville, Spain.
Abstract
BACKGROUND: Surgical decompression to the optic-chiasmatic region in craneofacial fibrous dysplasia (CFD) must be performed safely to improve or stabilize visual loss. METHOD: We describe a technical nuance when facing on a huge, deformed skull with potentially imbricated dura mater. Craniectomy was performed in concentric arches allowing to expose surgical field and elevated step by step. Bilateral micro-decompression was performed after without difficulties. CONCLUSIONS: Decompressing both optic nerves using this technique is safe and relatively simple to perform.
BACKGROUND: Surgical decompression to the optic-chiasmatic region in craneofacial fibrous dysplasia (CFD) must be performed safely to improve or stabilize visual loss. METHOD: We describe a technical nuance when facing on a huge, deformed skull with potentially imbricated dura mater. Craniectomy was performed in concentric arches allowing to expose surgical field and elevated step by step. Bilateral micro-decompression was performed after without difficulties. CONCLUSIONS: Decompressing both optic nerves using this technique is safe and relatively simple to perform.
Authors: E Béquignon; C Cardinne; X Lachiver; I Wagner; F Chabolle; B Baujat Journal: Eur Ann Otorhinolaryngol Head Neck Dis Date: 2013-07-18 Impact factor: 2.080
Authors: Moran Amit; Michael T Collins; Edmond J FitzGibbon; John A Butman; Dan M Fliss; Ziv Gil Journal: PLoS One Date: 2011-09-23 Impact factor: 3.240