Applied anatomical study on transsphenoidal endoscopic optic nerve decompression
JIN Xi-Chao, YANG Chao-Feng, NIE You-Hua
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (5) : 515-518.
Applied anatomical study on transsphenoidal endoscopic optic nerve decompression
Objective To provide anatomical basis for performing the transsphenoidal endoscopic optic nerve decompression. Methods Twelve heads of adult cadavers were dissected under the operative endoscopy imitating the trassphnoidal approach to observe the optic canal and its surrounding structures. Then the optic canals were removed and sheath was exposed in order to observe the optic nerve and ophthalmic artery. Results Optic canal protuberance is a relatively consistent anatomical landmark in sphenoid sinus and the orbital aperture could be determined through the optic canal protuberance. Ophthalmic artery is always located in the ventromedial side of optic nerve and incision of sheath of optic nerve should be performed in the superolateral position. Conclusions Optic canal protuberance is an important anatomic landmark; incision of sheath of optic nerve should be performed in the the superolateral position.
Optic nerve decompression / Transsphenoidal endoscopic / Applied anatomy
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