Indication and Technique of Transnasal Microscopic Orbital Decompression for Endocrine Ophthalmopathy

ORL ◽  
2000 ◽  
Vol 62 (3) ◽  
pp. 128-133 ◽  
Author(s):  
A. May ◽  
U. Fries ◽  
C. von Ilberg ◽  
A. Weber
Keyword(s):  
Orbital Decompression ◽  
Endocrine Ophthalmopathy

scholarly journals The method of the exophthalmos value predicted calculation when planning the orbital decompression procedure in patients with endocrine ophthalmopathy

2021 ◽  
Vol 14 (3) ◽  
pp. 41-48
Author(s):  
Konstantin A. Konovalov ◽  
Dmitrii V. Davydov ◽  
Dmitrii Anatolevich Lezhnev
Keyword(s):  
Statistical Significance ◽  
Original Method ◽  
Ophthalmological Examination ◽  
Orbital Decompression ◽  
Orbital Fat ◽  
Additional Equipment ◽  
Endocrine Ophthalmopathy ◽  
Group A ◽  
Decompression Procedure ◽  
The Individual

BACKGROUND: The most effective method of surgical treatment of lipogenic and mixed forms of edematous exophthalmos is currently the internal orbital decompression. During this surgical procedure, the excessive pathologically altered adipose tissue is removed from the external and the internal surgical spaces of the orbit. Many scientists are developing methods for calculating the volume of orbital fat, but the question on developing a method for predicted exophthalmos after internal orbital decompression, which could be used without attracting additional equipment and software, is easy to learn and does not require a long calculation time, remains actual. This method has to take into account the individual features of the patients orbital structure and be used for calculations in the bilateral proptosis correction. AIM: To develop and evaluate the effectiveness of a new method for calculating the eyeball position after orbital decompression. MATERIALS AND METHODS: 64 patients (126 orbits) with lipogenic and mixed forms of endocrine ophthalmopathy were examined. All patients underwent internal orbital decompression, during which the orbital fat was removed, the volume of which was calculated according to the developed original method. Patients underwent ophthalmological examination and MSCT before surgery and 6 months after it. . RESULTS: As a result of orbital decompression in the examined group, a decrease in proptosis was observed in all patients, and the exophthalmos calculated by the method corresponded to the eyeball position in patients in 6 months after surgery. The level of statistical significance of the planned postoperative eyeball position in relation to the actual postoperative exophthalmos calculated according to the Students t-test was 0.98 (p 0.05), that is, it can be argued that the groups do not differ, and no statistically significant differences were found. CONCLUSIONS: The developed method for calculating the estimated postoperative exophthalmos is effective without using additional software. This technique allows you to achieve a symmetrical eyeball position in the postoperative period and to reduce the risk of complications.

Orbital Decompression for Endocrine Ophthalmopathy: The Endonasal Approach

1994 ◽  
Vol 8 (3) ◽  
pp. 123-128 ◽  
Author(s):  
Wolf J. Mann ◽  
G. Kahaly ◽  
W. Lieb ◽  
Ronald G. Amedee
Keyword(s):  
Visual Acuity ◽  
Training Program ◽  
Complication Rate ◽  
Present Series ◽  
Orbital Decompression ◽  
Endonasal Approach ◽  
Muscle Training ◽  
Orbital Fat ◽  
Lamina Papyracea ◽  
Endocrine Ophthalmopathy

A surgical endonasal procedure is described to perform orbital decompression in patients suffering from ophthalmopathy in Grave's disease. The decompression technique employs removal of the lamina papyracea as an exclusive modality or in conjunction with a transmaxillary or lateral decompression approach. This present series contain 23 patients who underwent decompression over a 3-year period and were followed for at least 6 months postoperative. The results of decompression were assessed by measuring reduction in proptosis and visual acuity. All patients demonstrated improved visual acuity. Measuring retroplacement of the globe, the endonasal approach proved to equal the results obtained after a combined transantral-endonasal approach. Orbital fat was removed depending on the degree of proptosis. The complication rate was low, and establishment of an ocular muscle training program proved helpful.

The Endoscopic Management of Sinus Mucoceles following Orbital Decompression

1994 ◽  
Vol 8 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Michael E. Hoffer ◽  
David W. Kennedy
Keyword(s):  
Sinus Surgery ◽  
Endoscopic Management ◽  
Orbital Decompression ◽  
Challenging Problem ◽  
Sinus Disease ◽  
Diagnosis And Management ◽  
Endocrine Ophthalmopathy ◽  
Physician Awareness ◽  
Sinus Drainage ◽  
Ethmoid Sinuses

Sinusitis is a reported complication after orbital decompression for endocrine ophthalmopathy. Herniation of orbital fat may lead to ostiomeatal obstruction and secondary involvement of the dependent maxillary, frontal, and ethmoid sinuses. However, the occurrence of mucoceles appears to be rare, and we were unable to identify a prior report of this condition. We present three cases of maxillary and ethmoid sinus mucoceles after transantral decompressions for orbital proptosis. All three cases subsequently underwent endoscopic sinus surgery for marsupialization of the mucoceles. The diagnosis and management of these lesions is a challenging problem. The coexistence of exophthalmos and the fact that sinus disease may present many years after orbital decompression increases the difficulty of making an appropriate diagnosis. In addition, the surgical approach to this problem is difficult because the surgeon must avoid damage to the low-lying orbit and simultaneously decompress the infection and reestablish adequate sinus drainage. Physician awareness of this problem is important for timely diagnosis. We review the anatomy of this condition and describe a practical approach to diagnosis and management of this problem.

Orbital decompression and motility disturbances in endocrine ophthalmopathy

1986 ◽  
Vol 61 (3-4) ◽  
pp. 229-232 ◽  
Author(s):  
C. C. Sterk ◽  
J. J. M. Bierlaagh ◽  
C. J. Brenkman ◽  
R. J. W. De Keizer
Keyword(s):  
Orbital Decompression ◽  
Endocrine Ophthalmopathy

The influence of Ciamexon on thyroid-stimulating antibodies in endocrine ophthalmopathy

1989 ◽  
Vol 120 (3_Suppl) ◽  
pp. S43 ◽  
Author(s):  
K. HÜLBUSCH ◽  
G. KAHALY ◽  
J.P. YUAN ◽  
S. SCHILLING ◽  
J. BEYER ◽  
...  
Keyword(s):  
Thyroid Stimulating Antibodies ◽  
Endocrine Ophthalmopathy

Urinary glycosaminoglycans in endocrine ophthalmopathy

1989 ◽  
Vol 120 (3_Suppl) ◽  
pp. S39-S40
Author(s):  
M. SCHULER ◽  
G. KAHALY ◽  
A. C. SEWELL ◽  
H. SCHMIDT ◽  
G. BERNHARD ◽  
...  
Keyword(s):  
Endocrine Ophthalmopathy ◽  
Urinary Glycosaminoglycans
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