Journal article
Combined-approach orbital decompression for thyroid-related orbitopathy
Clinical otolaryngology and allied sciences, Vol.24(2), pp.109-113
04/1999
DOI: 10.1046/j.1365-2273.1999.00219.x
PMID: 10225154
Abstract
Surgical treatment of thyroid-related orbitopathy can be accomplished by transorbital or endoscopic techniques. Transorbital surgery has advantages in the orbital floor and lateral wall, and endoscopic decompression is best suited to the medial orbital wall. We describe a retrospective review of 16 orbits (10 patients) treated with surgery, combining endoscopic decompression of the medial wall and a transorbital approach to the floor and lateral wall. Follow-up averaged 20.8 months. Vision and field defects improved dramatically in compressive optic neuropathy cases. Hertel measurements improved, on average, 4.9 mm. Two patients with severe preoperative diplopia required strabismus surgery after decompression. Combined-approach decompression is a safe and efficacious operation with conceptual advantages over current surgical techniques.
Details
- Title: Subtitle
- Combined-approach orbital decompression for thyroid-related orbitopathy
- Creators
- S M Graham - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City 52242, USAK D Carter
- Resource Type
- Journal article
- Publication Details
- Clinical otolaryngology and allied sciences, Vol.24(2), pp.109-113
- Publisher
- England
- DOI
- 10.1046/j.1365-2273.1999.00219.x
- PMID
- 10225154
- ISSN
- 0307-7772
- eISSN
- 1365-2273
- Language
- English
- Date published
- 04/1999
- Academic Unit
- Neurosurgery; Otolaryngology; Ophthalmology and Visual Sciences
- Record Identifier
- 9983979943302771
Metrics
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