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Case report
Navigation-assisted endonasal endoscopic optic nerve decompression in fibrous dysplasia
  1. Ramya Thota,
  2. Rakesh Kumar,
  3. Rajeev Kumar and
  4. Bhinyaram Jat
  1. Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Rakesh Kumar; winirk{at}


A 12-year-old girl presented with left-sided decreased vision of 2-month duration. Clinical evaluation and imaging revealed fibrous dysplasia compressing the left optic nerve with no underlying endocrinological abnormalities. Best-corrected visual acuity showed progressive deterioration of vision over 2-month follow-up. She underwent navigation-assisted endonasal endoscopic optic nerve decompression. Post-surgery there was improvement in vision and it became normal (6/6). Six-month follow-up showed stable vision with no further complications.

  • otolaryngology/ENT
  • ear, nose and throat/otolaryngology
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  • Contributors I, Ramya T, am the submitting author of the report. Myself and the coauthors professor RakeshK, Dr Rajeev K and BJ have contributed to patient care, surgery and writing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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