Orbital decompression for thyroid orbitopathy
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 4
Abstract
SUMMARY Thyroid orbitopathy may result in significant proptosis that causes visual lost. Besides pharmacologic and radiotherapeutic procedures surgically de-compression of the orbital skeleton occasionally is managed. We present series of 3 patients (5 procedures) who underwent orbital decompressions. The preoperative proptosis ranged from 22 to 31 mm. Decompression was performed by an external Walsh-Ogura approach in 3 orbits and in 2 by an endoscopic approach. The reduction in proptosis was 4-6 mm in external approach cases and 4-5 mm in endoscopic procedures. Diplopia was noted in 2 patients preoperatively, and no one had new postoperative diplopia. Surgical orbital decompression is occasionally necessary procedure or visual lost rescue in thyroid orbitopathy and in cases of diplopia can not improve muscular function. Endoscopic surgery is a safe and effective management in moderate proptosis. Autoimmunologic inflammatory changes in nasal mucosa do not increase postoperative complication risk.
Authors and Affiliations
Dariusz Babiński, Andrzej Skorek, Adam Nałęcz, Czesław Stankiewicz
Keywords
Related Articles
- EP ID EP52324
- DOI -
- Views 99
- Downloads 0
Stapedotomia z użyciem lasera CO2 – technika jednego strzału
Introduction: CO2 laser is used in stapes surgery due to good water absorption and quite optimal ablation of a bony structure without the influence of inner ear parameters. Aim of the study: the assessment of the influen...
Leczenie chirurgiczne u dzieci z otosklerozą i wrodzonym unieruchomieniem strzemiączka: nasze doświadczenia i wyniki
Cel: Ocena rezultatów operacji strzemiączka u dzieci z wrodzonym unieruchomieniem strzemiączka i otosklerozą młodzieńczą. Metody: Przeprowadzono retrospektywną analizę dokumentacji z lat 1987-2013 w celu identyfikacji pa...
The minimally invasive rhinoplasty with hyaluronic acid and botulinum toxin in a 49-year old woman
SUMMARY A significant component of human appearance and a major aspect of one's profile depend on the shape of the nose. This shape can be distorted by a variety of factors. To date, treatment options reported have inclu...
Malignant and non-malignant cartilaginous tumours of the larynx
Introduction: Cartilaginous tumours of the larynx are rare. They usually involve cricoid cartilage, less frequently thyroid cartilage and other cartilages. The most significant clinical manifestations are hoarseness, dys...
Cytokiny w popłuczynach z zatok szczękowych jako wykładnik stanu zapalnego
Introduction. In a pathogenetic chain of chronic sinusitis there is a set of cellular and humoral factors that are accepted as characteristic of a chronic inflammatory process. These include mast cells, granulocytes (bas...