{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:02:51Z","timestamp":1787025771228,"version":"build-2736575974"},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Patients with fibrous dysplasia (FD) of the anterior skull base can experience progressive visual loss and impairment. The authors reviewed their experience with endonasal decompression of the optic nerve (ON) in this patient population. Endoscopic ON decompression (EOND) is a feasible surgical approach for children with FD and visual deficit due to structural ON compression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Electronic medical records of children between 1 and 17 years of age with unilateral FD of the anterior skull base and concomitant ON compression, who required EOND between 2017 and 2022 (n = 4), were reviewed for demographic data, both pre- and postoperative imaging, and evaluations by an otolaryngologist, neurosurgeon, and ophthalmologist in a multidisciplinary fashion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>EOND was found to be a safe and effective surgery for children with FD. Visual acuity was stable in 80% of the eyes postoperatively. Visual fields improved in 40% of the eyes and remained stable in the rest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>EOND is beneficial for progressive optic neuropathy that is unresponsive to steroid therapy and can prevent permanent disability if performed prior to irreversible damage to the nerve. EOND can decompress the edematous ON with proper exposure of the optic canal and orbital apex, without any major complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2022.9.peds22313","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T08:32:56Z","timestamp":1669365176000},"page":"179-185","source":"Crossref","is-referenced-by-count":4,"title":["Endoscopic endonasal optic nerve decompression: treatment of fibrous dysplasia in a pediatric population"],"prefix":"10.3171","volume":"31","author":[{"given":"Mandana","family":"Behbahani","sequence":"first","affiliation":[{"name":"Divisions of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanik","family":"Fernando","sequence":"additional","affiliation":[{"name":"Otolaryngology, Ann and Robert H. Lurie Children\u2019s Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Peng","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis G.","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Hajnas","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of Illinois at Chicago;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelly","family":"Sharma","sequence":"additional","affiliation":[{"name":"Divisions of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey C.","family":"Rastatter","sequence":"additional","affiliation":[{"name":"Otolaryngology, Ann and Robert H. Lurie Children\u2019s Hospital;"},{"name":"Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tord D.","family":"Alden","sequence":"additional","affiliation":[{"name":"Divisions of Neurological Surgery and"},{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"b1","series-title":"Arch Dis Child","first-page":"1003","article-title":"Fibrous dysplasia causing safeguarding concerns","volume":"98","author":"Pai B","year":"2013","unstructured":"Pai B, Ferdinand D. Fibrous dysplasia causing safeguarding concerns. 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