SavedAdd your journal

Journals / The Turkish Journal of Ear Nose and Throat / 2002 / Cilt: 9 Sayı: 5

Orbital decompression by endoscopic transnasal and transantral approach in thyroid-associated ophthalmopathy

Tiroit oftalmopatisinde transantral ve endoskopik transnazal yolla orbital dekompresyon

Harun CANSIZ
Kemal TUSKAN
Nuran KALEKOĞLU
Özcan ÖZTÜRK
Ender İNCİ
Nihat ŞEKERCİOĞLU
Halit PAZARLI
Pages
358–362
Publication Date
2002-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Complications occurred in three cases 25% including diplopia, displacement of one eye infe- riorly, and maxillary sinusitis caused by the encroach- ment of the adipose tissue upon the ostium.Conclusion: With the increasing ease of surgical pro- cedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased complication rates.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: We evaluated the results of orbital decom­ pression in patients with Graves’ disease.Patients and Methods: Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients 8 males, 4 females; mean age 41 years; range 24 to 65 years .
📊
Key Findings & Data:The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months.Results: At the end of the third month, exophthalmos decreased by a mean of 4.4 mm range 3 to 7 mm .Visual acuity and field defects improved considerably in ali patients.
💡
Conclusion & Impact:Complications occurred in three cases 25% including diplopia, displacement of one eye infe- riorly, and maxillary sinusitis caused by the encroach- ment of the adipose tissue upon the ostium.Conclusion: With the increasing ease of surgical pro- cedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased complication rates.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Dekompresyon · cerrahi/yöntem · endoskopi

Abstract

Objectives: We evaluated the results of orbital decom­ pression in patients with Graves’ disease.Patients and Methods: Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients 8 males, 4 females; mean age 41 years; range 24 to 65 years . The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months.Results: At the end of the third month, exophthalmos decreased by a mean of 4.4 mm range 3 to 7 mm .Visual acuity and field defects improved considerably in ali patients. Complications occurred in three cases 25% including diplopia, displacement of one eye infe- riorly, and maxillary sinusitis caused by the encroach- ment of the adipose tissue upon the ostium.Conclusion: With the increasing ease of surgical pro- cedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased complication rates.

Özet

Amaç: Graves hastalığında uyguladığımız orbital dekompresyonun sonuçlarını değerlendirdik.Hastalar ve Yöntemler: On iki hastanın 18 gözüne, medial duvara endoskopik transnazal ve inferior duvara transantral yaklaflımla orbital dekompresyon uygulandı. Olguların eksoftalmi dereceleri ameliyat öncesinde, ameliyattan sonra 24. saatte, birinci ve üçüncü aylarda Hertelölçüm aletiyle değerlendirildi.Bulgular: Üçüncü ayın sonunda eksoftalmide ortalamagerileme miktarı 4.44 mm dağılım 3-6 mm bulundu.Tüm olguların görme keskinliğinde ve görme alanı defektlerinde belirgin iyileflme görüldü. Üç olguda %25 komplikasyon geliflti; bunlar bir olguda diplopi, bir olguda gözün aflağı deplasmanı, bir olguda da prolabe olanyağ dokusunun yol açtığı maksiller sinüzitti.Sonu ç : Gerek cerrahi giriflimin uygulanmasındaki kolaylık, gerekse uygulanan teknik üzerinde cerrahların giderekdeneyim kazanması, eksoftalmosun baflarılı flekilde tedavi edilmesini ve komplikasyonların azalmasını sağlamıfltır

🔖

Cite This Article

CANSIZ, H., TUSKAN, K., KALEKOĞLU, N., ÖZTÜRK, Ö., İNCİ, E., ŞEKERCİOĞLU, N., PAZARLI, H. (2002). Orbital decompression by endoscopic transnasal and transantral approach in thyroid-associated ophthalmopathy. The Turkish Journal of Ear Nose and Throat, Cilt: 9 Sayı: 5, 358–362. https://ajindex.com/articles/898592

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Calcaterra TC, Trapp TK. Unilateral pro p t o s i s. Otolaryngol Clin North Am 1988;21:53-63.
  2. Pratt MF, Khetia PA. Combined endoscopic transnasal and transantral orbital decompression. Am J Otolaryngol 1 9 9 7; 1 8: 1 5 9 - 6 4. Kennedy DW, Goodstein ML, Miller NR, Zinreich SJ. Endoscopic transnasal orbital decompression. Arch Otolaryngol Head Neck Surg 1990;116:275-82.
  3. İleri F, Ünal M, Köybaflıoğlu A, Yılmazbafl P, Yılmaz M. Tiroid oftalmopatide kombine orbita dekompres- yon tekniği. In: Kaytaz A, editor. 24. Ulusal Türk Oto- rinolarengoloji Bafl-Boyun Cerrahisi Kongresi Kitabı; 23-27 Eylül 1997;
  4. Antalya, Türkiye; s. 467-70.
  5. Gorman CA, Garrity JA, Fatourechi V, Bahn RS, Petersen IA, Staff o rd SL, et al. A prospective, randomized, double- blind, placebo-controlled study of orbital radiotherapy for Graves’ ophthalmopathy. Ophthalmology 2001;108: 1 5 2 3 - 3 4. De Ponte FS, Bottini DJ, Brunelli A, Marchetti E, Iannetti G. New approach to the surgical treatment of severe exophthalmos in Graves disease. J Craniofac Surg 1998;9:394-9.
  6. Etaner R, Değer K, Aktan C, Orhan Y. Malign eksoftal- mi (Graves hastalığı) ve orbital dekompresyon. Türk Otolarengoloji Arflivi 1982;20:55-61.
  7. F a t o u rechi V, Garrity JA, Bartley GB, Bergstralh EJ, DeSanto LW, Gorman CA. Graves ophthalmopathy. Results of transantral orbital decompression performed primarily for cosmetic indications. Ophthalmology 1994; 1 0 1: 9 3 8 - 4 2. Tallstedt L, Papatziamos G, Lundblad L, Anggard A. Results of transantral orbital decompression in patients with thyroid-associated ophthalmopathy. Acta Ophthalmol Scand 2000;78:206-10.
  8. Kikkawa DO, Pornpanich K, Cruz RC Jr, Levi L, Granet DB. Graded orbital decompression based on severity of p roptosis. Ophthalmology 2002;109:1219-24.
  9. Neugebauer A, Nishino K, Neugebauer P, Konen W, Michel O. Effects of bilateral orbital decompression by an endoscopic endonasal approach in dysthyro i d orbitopathy. Br J Ophthalmol 1996;80:58-62.
  10. L i n b e rg JV, Anderson RL. Transorbital decompre s- sion. Indications and results. Arch Ophthalmol 1981; 9 9: 11 3 - 9. Fells P. Orbital decompression for severe dysthyroid eye disease. Br J Ophthalmol 1987;71:107-11.
  11. Nunery WR, Nunery CW, Martin RT, Truong TV, Osborn DR. The risk of diplopia following orbital floor and medial wall decompression in subtypes of oph- thalmic Graves' disease. Ophthal Plast Reconstr Surg 1 9 9 7;13:153-60.
  12. McCord CD Jr, Putnam JR, Ugland DN. Pressure-vol- ume orbital measurement comparing deco