AI Article Synopsis

  • - This study investigates two surgical techniques for treating optic pathway gliomas (OPGs) in the intraorbital segment and evaluates their outcomes.
  • - The analysis involved 86 patients, with one group receiving optic nerve sheath incision while the other had a simultaneous removal of the sheath and tumor; both groups showed low recurrence rates.
  • - Results indicated that the optic nerve sheath incision method led to significantly better postoperative outcomes, with fewer complications compared to the simultaneous removal technique.

Article Abstract

Background: This study analyzes two kinds of surgical methods for the treatment of optic pathway gliomas (OPGs) in the intraorbital segment, as well as the surgical outcomes of OPGs.

Methods: The clinical data of 86 patients with OPGs treated in our center was analyzed retrospectively, and the clinical symptoms, treatment methods, and follow-up results were recorded.

Results: For OPGs in the intraorbital segment, the optic nerve sheath incision was performed to remove a tumor while retaining the optic nerve sheath in Group 1 (n=36). The optic nerve sheath and the tumor were simultaneously removed without retaining the optic nerve sheath in group 2 (n=50). The effects of the design of the surgical methods on the post-surgical outcome are: One patient (1/36, 2.8%) had recurrence in Group 1 and one patient (1/50, 2.0%) had recurrence in group 2. The differences in the surgical outcomes of the two groups regarding exophthalmos, conjunctiva swelling, eye movement disorder, and ptosis were found to be statistically significant (P<0.05). Compared with group 2, the surgical outcomes in the postoperative phase of Group 1 were more satisfactory.

Conclusions: The two surgical methods do not increase the recurrence rate of tumors. The resection of OPGs through an optic nerve sheath incision was found to be an ideal surgical method for reducing complications in the postoperative phase and for providing better surgical outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261595PMC
http://dx.doi.org/10.21037/tp-20-451DOI Listing

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