Three-wall decompression technique using transpalpebral and endonasal approach in patients with Graves' ophthalmopathy

Three-wall decompression technique using transpalpebral and endonasal approach in patients with Graves' ophthalmopathy

Author Pezato, Rogerio Autor UNIFESP Google Scholar
Pereira, Max Domingues Autor UNIFESP Google Scholar
Manso, Paulo Gois Autor UNIFESP Google Scholar
Santos, Rodrigo de Paula Autor UNIFESP Google Scholar
Ferreira, Lydia Massako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: To evaluate the effects of the three-wall decompression technique using transpalpebral and endonasal approach inpatients suffering from Graves' ophthalmopathy.Methods: In this prospective study, we present a consecutive series of 15 subjects (17 eyes) who were submitted to orbital decompression by removing the inferior and lateral walls using transpalpebral incision combined with a, transnasal endoscopic resection of the medial wall. The surgical technique involved the preservation of the bone structure between the lamina papyracea of the ethmoid and the maxillary orbital floor.Main results: The mean ocular recession based on Hertel measurements was 6 00 mm (range, 4-9 mm). None of the patients presented pre-operation diplopia, and one developed post-operation diplopia. Visual acuity was preserved in all cases.Conclusion: It is safe and efficient to perform three-wall decompression, combining transpalpebral and endoscopic transnasal, approach, with preservation of the bone structure and the bone lateral to the infraorbital canal with fixation by two titanium plates on the lateral edge and removal of intraorbital fat, which results in significant proptosis reduction and minimal complications.
Keywords orbital decompression
ophthalmopathy
Graves' disease
endoscopic
proptosis
Language English
Date 2003-12-01
Published in Rhinology. Utrecht: Int Rhinologic Soc, v. 41, n. 4, p. 231-234, 2003.
ISSN 0300-0729 (Sherpa/Romeo, impact factor)
Publisher Int Rhinologic Soc
Extent 231-234
Origin http://www.rhinologyjournal.com/Rhinology_issues/413.pdf
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000188841800006
URI http://repositorio.unifesp.br/11600/45525

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