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RESEARCH PRODUCT
Orbital Decompression for Endocrine Ophthalmopathy: The Endonasal Approach
Wolf J. MannG. KahalyW. LiebRonald G. Amedeesubject
musculoskeletal diseasesmedicine.medical_specialtyVisual acuitygenetic structuresbusiness.industryDecompressionmedicine.medical_treatmentOrbital decompressionmedicine.diseaseeye diseasesSurgeryOptic neuropathy03 medical and health sciences0302 clinical medicineOtorhinolaryngology030220 oncology & carcinogenesismedicineIn patientEndocrine ophthalmopathymedicine.symptom030223 otorhinolaryngologyTraining programbusinessReduction (orthopedic surgery)description
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1994-05-01 | American Journal of Rhinology |