Orbital decompression in graves' ophthalmopathy by medial and lateral wall removal. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. [Otolaryngol Head Neck Surg] Journal article

Title	Orbital decompression in graves' ophthalmopathy by medial and lateral wall removal.
Author(s)	Sellari-Franceschini S, Berrettini S, Santoro A, Nardi M, Mazzeo S, Bartalena L, Mazzi B, Tanda ML, Marcocci C, Pinchera A
Institution	Department of Neuroscience, Ia ENT division, Pisa, Italy. s.sellari@med.unipi.it
Source	Otolaryngol Head Neck Surg 2005 Aug; 133(2):185-9.
MeSH	Adult Aged Cohort Studies Comparative Study Decompression, Surgical Ethmoid Sinus Exophthalmos Female Follow-Up Studies Graves Disease Humans Male Middle Aged Ophthalmologic Surgical Procedures Orbit Postoperative Complications Retrospective Studies Risk Assessment Tomography, X-Ray Computed Treatment Outcome
Abstract	OBJECTIVE: The objective of this study is to describe a technique for balanced orbital decompression and to analyze the results. METHODS AND MATERIALS: We conducted a retrospective study of 140 patients (276 orbits). Orbital decompression was carried out by removal of the medial orbital wall by ethmoidectomy and complete removal of the lateral wall by bringing out the entire sphenoid wing together with part of the zygomatic bone down to the inferior orbital fissure. RESULTS: One hundred thirty-six patients underwent bilateral decompression, 4 patients underwent monolateral decompression. Proptosis was reduced on average by 5.3 mm; 28 (20%) patients showed onset or worsening of diplopia. CONCLUSIONS: Medial and lateral approach allows a balanced orbital decompression. As some patients may present different degrees of proptosis and visual impairment, we stress the importance of carefully weighing the preoperative conditions of the individual patient when choosing the surgical approach.
Language	eng
Pub Type(s)	Journal Article
PubMed ID	16087011

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