Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves’ Orbitopathy
Joint Authors
Source
International Journal of Endocrinology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-28
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
To evaluate the effect of en bloc lateral wall decompression with additional orbital fat resection in terms of exophthalmos reduction and complications.
Methods.
A retrospective, noncomparative case series study from 1999 to 2011 (chart review) in Graves’ orbitopathy (GO) patients.
The standardized surgical technique involved removal of the lateral orbital wall including the orbital rim via a lid crease approach combined with additional orbital fat resection.
Exophthalmos, diplopia, retrobulbar pressure sensation, and complications were analyzed pre- and postoperatively.
Results.
A total of 111 patients (164 orbits) with follow-up >3 months were analysed.
Mean exophthalmos reduction was 3.05mm and preoperative orbital pressure sensation resolved or improved in all patients.
Visual acuity improved significantly in patients undergoing surgery for rehabilitative or vision threatening purposes.
Preoperative diplopia improved in 10 patients (9.0%) but worsened in 5 patients (4.5%), necessitating surgical correction in 3 patients.
There were no significant complications; however, one patient had slight hollowing of the temporalis muscle around the scar that did not necessitate revision, and another patient with a circumscribed retraction of the scar itself underwent surgical correction.
Conclusions.
The study confirms the efficiency of en bloc lateral wall decompression in GO in a large series of patients, highlighting the low risk of disturbance of binocular functions and of cosmetic blemish in the temporal midface region.
American Psychological Association (APA)
Fichter, N.& Guthoff, Rudolf F.. 2015. Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves’ Orbitopathy. International Journal of Endocrinology،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1065834
Modern Language Association (MLA)
Fichter, N.& Guthoff, Rudolf F.. Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves’ Orbitopathy. International Journal of Endocrinology No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1065834
American Medical Association (AMA)
Fichter, N.& Guthoff, Rudolf F.. Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves’ Orbitopathy. International Journal of Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1065834
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1065834