Outcome of orbital decompression for disfiguring proptosis in patients with Graves' orbitopathy using various surgical procedures
| Autor: | European Group on Graves' Orbitopathy, Mourits, Mp, Bijl, H, Nardi, Marco, Altea, Ma, Pinchera, Aldo, Baldeschi, Lelio, SELLARI FRANCESCHINI, Stefano, Boboridis, K, Marcocci, Claudio, Currò, N, Dickinson, Aj, Eckstein, A, Freidel, M, Guastella, C, Kahaly, Gj, Kalmann, R, Krassas, Ge, Lane, Cm, Lareida, J, Marcocci, C, Marino', Michele, Nardi, M, Mohr, Ch, Neoh, C, Pinchera, A, Orgiazzi, J, Pitz, S, Saeed, P, Salvi, M, Sellari Franceschini, S, Stahl, M, von Arx, G, Wiersinga, W. M. |
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| Přispěvatelé: | Faculteit der Geneeskunde, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Targeted Gynaecologic Oncology (TARGON), Guided Treatment in Optimal Selected Cancer Patients (GUTS), AII - Amsterdam institute for Infection and Immunity, Ophthalmology, Other Research, CCA -Cancer Center Amsterdam, Endocrinology |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Visual acuity Adolescent Decompression Eye disease Visual Acuity OF-LIFE QUESTIONNAIRE DISEASE Graves' ophthalmopathy Young Adult Cellular and Molecular Neuroscience REMOVAL medicine Humans Exophthalmus Aged Diplopia EUROPEAN GROUP LATERAL WALL biology business.industry Length of Stay Middle Aged Decompression Surgical biology.organism_classification medicine.disease Sensory Systems Surgery Graves Ophthalmopathy Ophthalmology Treatment Outcome medicine.anatomical_structure Coronal plane Quality of Life Female OPHTHALMOPATHY Eyelid medicine.symptom business GO-QOL DIPLOPIA Orbit |
| Zdroj: | British journal of ophthalmology, 93(11), 1518-1523. BMJ Publishing Group BRITISH JOURNAL OF OPHTHALMOLOGY, 93(11), 1518-1523. BMJ PUBLISHING GROUP |
| ISSN: | 0007-1161 |
| Popis: | Aim: To compare the outcome of various surgical approaches of orbital decompression in patients with Graves' orbitopathy (GO) receiving surgery for disfiguring proptosis.Method: Data forms and questionnaires from consecutive, euthyroid patients with inactive GO who had undergone orbital decompression for disfiguring proptosis in 11 European centres were analysed.Results: Eighteen different (combinations of) approaches were used, the swinging eyelid approach being the most popular followed by the coronal and transconjunctival approaches. The average proptosis reduction for all decompressions was 5.0 (SD 2.1) mm. After three-wall decompression the proptosis reduction was significantly greater than after two-wall decompression. Additional fat removal resulted in greater proptosis reduction. Complications were rare, the most frequent being worsening of motility, occurring more frequently after coronal decompression. The average change in quality of life (QOL) in the appearance arm of the GO-QOL questionnaire was 20.5 (SD 24.8) points.Conclusions: In Europe, a wide range of surgical approaches is used to reduce disfiguring proptosis in patients with GO. The extent of proptosis reduction depends on the number of walls removed and whether or not fat is removed. Serious complications are infrequent. Worsening of ocular motility is still a major complication, but was rare in this series after the swinging eyelid approach. |
| Databáze: | OpenAIRE |
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