Stereotactic Navigation Improves Outcomes of Orbital Decompression Surgery for Thyroid Associated Orbitopathy.

Ophthalmic Plastic and Reconstructive Surgery
Curtis J HeiselAlon Kahana

Abstract

To test whether intraoperative stereotactic navigation during orbital decompression surgery resulted in quantifiable surgical benefit. This retrospective cohort study examined all consecutive patients who underwent primary orbital decompression surgery for thyroid associated orbitopathy performed by a single surgeon (A.K.) during the periods of 2012-2014 (non-navigated), and 2017-2018 (navigated). The study was HIPAA-compliant, was approved by the Institutional Review Board, and adhered to the tenets of the Helsinki declaration. Recorded parameters included patient age, sex, race, decompression technique (side of operation and walls decompressed), estimated blood loss (EBL), intraoperative complications, times that patient entered and exited the operating room (OR), times of surgical incision and dressing completion, pre- and postoperative best corrected visual acuity (BCVA), proptosis, diplopia, postoperative change in strabismus deviation, and need for subsequent strabismus surgery. Recorded times were used to calculate operating time (initial incision to dressing) and maintenance time (time between OR entry and initial incision and time between dressings and OR exit). The total maintenance time was averaged over total number...Continue Reading

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Citations

Sep 15, 2020·Ophthalmic Plastic and Reconstructive Surgery·Alon Kahana, Curtis J Heisel
Sep 15, 2020·Ophthalmic Plastic and Reconstructive Surgery·Nicole J TopilowBradford W Lee
Mar 21, 2021·International Ophthalmology Clinics·Edith R Reshef, Michael K Yoon
May 18, 2021·Ophthalmic Plastic and Reconstructive Surgery·Alon Kahana, Curtis J Heisel
Jun 30, 2021·Current Opinion in Otolaryngology & Head and Neck Surgery·Jonathan S Williams, Priya D Sahu

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