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Orbital decompression for thyroid eye disease: a comparison of external and endoscopic techniques

  • Valerie J. Lund (a1), Genevieve Larkin (a2), Peter Fells (a2) and Gillian Adams (a2)
Abstract

The results of orbital decompression for thyroid eye disease are presented in a cohort of 33 patients. It was performed by an external Patterson approach in 21 individuals and in 13 by an endonasal endoscopic approach. The endoscopic approach was entirely comparable in respect of improvement in axial proptosis, giving a mean improvement of 4.4 mm as compared with a mean of 3.8 mm for the external approach, and produced a demonstrable improvement in visual acuity and perception of colour in three individuals, where this was compromised, and was associated with fewer complications.

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Corresponding author
Address for correspondence: Professor Valerie J. Lund, The Royal National Throat, Nose and Ear Hospital, 330 Gray's Inn Road, London WC1X 8DA. Fax: 0171 8339480
References
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Bahn, R. S., Heufelder, A. E. (1993) Pathogenesis of Graves' ophthalmopathy. New England Journal of Medicine 329: 14681475.
De Santo, L. W. (1980) The total rehabilitation of Graves' ophthalmopathy. Laryngoscope 90: 16521678.
Dollinger, J. (1911) Die drickentlastlung der augenjokle durch entfurnung der aussern orbitalwand bei hochgradigen expohthalmos und koneskutwer hornhauterkrongkung. Deutsche Med Wochenschrift 37: 18881890.
Garrity, J. A. (1994) The surgical management of Graves' ophthalmology. Current Opinion in Ophthalmology 5: 3944.
Garrity, J. A., Fatourechti, V., Bergstralh, E. J., Bartley, G. B., Beatty, C. W., De Santo, L. W., Gorman, C. A. (1993) Results of transantral orbital decompression in 428 patients with severe Graves' ophthalmology. American Journal of Ophthalmology 116: 533547.
Harrison, D. F. N. (1981) Surgical approaches to the medial orbital wall. Annals of Otology, Rhinology and Laryngology 90: 415419.
Hirsch, O. (1950) Surgical decompression of exophthalmos. Archives of Otolaryngology – Head and Neck Surgery 51: 325331.
Kennedy, D. W. (1985) Functional endoscopic sinus surgery technique. Archives of Otolaryngology – Head and Neck Surgery 111: 643649.
Kennedy, D. W., Goodstein, M. L., Miller, N. R., Zinreich, S. J. (1990) Endoscopic transnasal orbital decompression. Archives of Otolaryngology – Head and Neck Surgery 116: 275282.
Kraus, D. J., Bullock, J. D. (1993) Treatment of thyroid ocular myopathy with adjustable and nonadjustable suture strabismus surgery. Transactions of the American Ophthalmological Society 91: 6784.
Liu, D. (1993) Surgical correction of upper eyelid retraction. Ophthalmic Surgery 24: 323327.
Mann, W., Kahaly, G., Lieb, W., Rothoff, T., Springborn, S. (1993) Orbital decompression for endocrine ophthalmopathy. The endonasal approach. Developmental Ophthalmology 25: 142150.
McCord, C. D. Jr. (1985) Current trends in orbital decompression. Ophthalmology 92: 2133.
Metson, R., Dallow, R. L., Shore, J. W. (1994) Endoscopic orbital decompression. Laryngoscope 104: 950957.
Naffziger, H. C. (1931) Progressive exophthalmos following thyroidectomy: its pathology and treatment. Annals of Surgery 94: 582586.
Penttila, M. A., Rautiainen, M. E. P., Pukander, J. S., Karma, P. H. (1994) Endoscopic versus Caldwell-Luc approach in chronic maxillary sinusitis: Comparison of symptoms at oneyear follow-up. Rhinology 32: 161165.
Sewall, E. C. (1936) Operative control of progressive exophthalmos. Archives of Otolaryngology – Head and Neck Surgery 24: 621624.
Stammberger, H. (1985) Endoscopic endonasal surgery – new concepts in treatment of recurring sinusitis. Part II. Surgical technique. Otolaryngology – Head and Neck Surgery 94: 147156.
Stark, B., Olivari, N. (1993) Treatment of exophthalmos by orbital fat removal. Clinics in Plastic Surgery 20: 285289.
Trokel, S., Kazim, M., Moore, S. (1993) Orbital fat removal: decompression for Graves' orbitopathy. Ophthalmology 100: 674682.
Walsh, T. E., Ogura, J. H. (1957) Transantral orbital decompression for malignant exophthalmos. Laryngoscope 67: 544549.
Warren, J. D., Spector, J. G., Burde, R. (1989) Long-term follow-up and recent observations on 305 cases of orbital decompression for dysthyroid orbitopathy. Laryngoscope 99: 3540.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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