Lateral wall orbital decompression in Graves' orbitopathy

International Journal of Oral and Maxillofacial Surgery
S Sellari-FranceschiniC Marcocci

Abstract

Orbital decompression can be carried out, for rehabilitative reasons, using various techniques, but a general consensus on the ideal surgical approach has not been reached. Postoperative diplopia is the most common side effect of decompression surgery. The authors report 39 patients (72 orbits) who underwent lateral wall orbital decompression. Mean preoperative and postoperative Hertel exophthalmometry were 22.8+/-2.2mm (mean+/-SD; range 16-26 mm) and 18.2+/-2.1mm (range 15-22 mm), respectively. Mean proptosis reduction was 4.5+/-1.9 mm. A new appearance of diplopia postoperatively in the extreme gaze direction was observed in three patients (8%). The complication rate in this series was low, making the procedure safe and well tolerated. In the authors' opinion, when a single-wall approach is feasible, lateral wall decompression should be the first choice because of its effectiveness in terms of proptosis reduction and safeness in terms of postoperative diplopia.

References

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Citations

Oct 18, 2012·Thyroid : Official Journal of the American Thyroid Association·Roberto RocchiStefano Sellari-Franceschini
Jun 5, 2014·International Journal of Oral and Maxillofacial Surgery·Y ShimizuK Kishi
Jul 30, 2015·International Journal of Endocrinology·Nicole Fichter, Rudolf F Guthoff
Jun 9, 2016·Acta Ophthalmologica·Hans Olav UelandEyvind Rødahl
Sep 10, 2016·Auris, Nasus, Larynx·Ira SeibelAnnekatrin Coordes
Jun 6, 2018·Ophthalmic Plastic and Reconstructive Surgery·Jonathan J Dutton
Feb 17, 2018·Journal of Endocrinological Investigation·S Sellari-FranceschiniC Marcocci
Jul 7, 2020·European Journal of Ophthalmology·Mohammad Taher RajabiRobert A Goldberg
Feb 1, 2021·International Ophthalmology·Antonio Augusto V CruzRoque Lima Souza
May 30, 2020·Ophthalmic Plastic and Reconstructive Surgery·Laura Porrúa-TubíoMarco Sales-Sanz
May 20, 2020·Ophthalmic Plastic and Reconstructive Surgery·Aric VaidyaYasuhiro Takahashi
Jun 2, 2021·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·Claudio ParrillaEmanuele Scarano

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