A single-center retrospective study suggests a structured optic nerve protocol may facilitate delayed visual recovery following skull base tumor resection. Investigators evaluated delayed recovery patterns and reported that implementing the protocol was associated with improved visual outcomes compared with historical expectations. For surgical teams in neurotology and skull base oncology, the practical implication is a potentially actionable perioperative workflow aimed at improving the odds of functional vision restoration. The retrospective design limits causal certainty, but the signal may motivate multicenter prospective studies to confirm protocol elements and refine patient selection. The study also underscores how postoperative neurologic recovery can be influenced by structured care pathways, not only by tumor biology and surgical extent.
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