Orbital Decompression for Endocrine Ophthalmopathy: The Endonasal Approach
| Autor: | Wolf J. Mann, G. Kahaly, W. Lieb, Ronald G. Amedee |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Visual acuity genetic structures business.industry Decompression medicine.medical_treatment Orbital decompression medicine.disease eye diseases Surgery Optic neuropathy 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis medicine In patient Endocrine ophthalmopathy medicine.symptom 030223 otorhinolaryngology Training program business Reduction (orthopedic surgery) |
| Zdroj: | American Journal of Rhinology. 8:123-128 |
| ISSN: | 1539-6290 1050-6586 |
| DOI: | 10.2500/105065894781874430 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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