Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-30T19:32:42.813Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic orbital decompression for dysthyroid eye disease

Published online by Cambridge University Press:  29 June 2007

Boon Koay ,
Grant Bates  and
John Elston
Boon Koay*
Affiliation:
Departments of Otolaryngology, Radcliffe Infirmary and Oxford Eye Hospital, Oxford, UK.
Grant Bates
Affiliation:
Departments of Otolaryngology, Radcliffe Infirmary and Oxford Eye Hospital, Oxford, UK.
John Elston
Affiliation:
Departments of Otolaryngology, Radcliffe Infirmary and Oxford Eye Hospital, Oxford, UK.
*
Address for correspondence: Mr C. B. Koay, ENT Department, Royal Berkshire Hospital, London Road, Reading RG1 5AN.
Get access Rights & Permissions [Opens in a new window]

Abstract

Orbital decompression for dysthyroid eye disease is traditionally performed either through an external approach or transantrally. The introduction of endoscopic sinus surgery over the last decade has led to a better understanding of the intranasal surgical landmarks of orbital walls and the development of endoscopic orbital decompression. We have adopted the endoscopic technique as the treatment of choice for orbital decompression in dysthyroid eye disease for the last two years. The surgical technique is described and illustrated, and the results of our first series of 15 patients (30 orbits) are presented.

Keywords

Graves' DiseaseOrbitDecompressionSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 10 , October 1997 , pp. 946 - 949
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bough, I. D., Huang, J. J., Pribitkin, E. A. (1994) Orbital decompression for Graves' disease complicated by sinusitis. Annals of Otolaryngology, Rhinology and Laryngology 103: 988–990.CrossRefGoogle ScholarPubMed
DeSanto, L. W. (1980) The total rehabilitation of Graves' ophthalmopathy. Laryngoscope 90: 1652–1678.CrossRefGoogle ScholarPubMed
Fries, P. D. (1992) Thyroid dysfunction: Managing the ocular complications of Graves' disease. Geriatrics 47: 58–65.Google ScholarPubMed
Guy, J. R., Fagien, S., Donovan, J. P., Rubin, M. L. (1989) Methylprednisolone pulse therapy in severe dysthyroid optic neuropathy. Ophthalmology 96: 1048–1052.CrossRefGoogle ScholarPubMed
Ivy, H. K. (1972) Medical approaches to ophthalmopathy of Graves' disease. Mayo Clinic Proceedings 47: 980–985.Google ScholarPubMed
Hansbury, M. R., Cole, T. B., Clark, C. E. III, Chandler, A. C. (1984) Surgical treatment for malignant exophthalmos of endocrine origin. Laryngoscope 94: 1193–1195.CrossRefGoogle Scholar
Kennedy, D. W., Goodstein, M. L., Miller, N. R., Zinreich, J. (1990) Endoscopic transantral orbital decompression. Archives of Otolaryngology - Head and Neck Surgery 116: 275–282.CrossRefGoogle Scholar
Lund, V. (1997) Extended applications of endoscopic sinus surgery - the territorial imperative. Journal of Laryngology and Otology 111: 313–315.CrossRefGoogle ScholarPubMed
Metson, R., Dallow, R. L., Shore, J. W. (1994) Endoscopic orbital decompression. Laryngoscope 104: 950–957.CrossRefGoogle ScholarPubMed
Naffziger, H. C., Jones, O. W. (1932) The surgical treatment of progressive exophthalmos following thyroidectomy. Journal of American Medical Association 99: 638–642.CrossRefGoogle Scholar
Sang, F. M., Knegt, P., Wijngaarde, R., Poublon, R., Van Der Schans, E., Krenning, E. (1994) Transantral orbital decompression for Graves' disease. Clinical Otolaryngology 19: 290–294.Google Scholar
Shorr, N., Seiff, S. R. (1986) The four stages of surgical rehabilitation of the patient with dysthyroid ophthalmopathy. Ophthalmology 93: 476–483.CrossRefGoogle ScholarPubMed
Walsh, T. E., Ogura, J. H. (1957) Transantral orbital decompression for malignant exophthalmos. Laryngoscope 67: 544–548.CrossRefGoogle ScholarPubMed
Warren, J. D., Spector, J. G., Burde, R. (1989) Long-term follow-up and recent observations on 305 cases of orbital decompression for dysthyroid orbitopathy. Laryngoscope 99: 35–40.CrossRefGoogle ScholarPubMed
Weisman, R. A., Savino, P. J. (1988) Management of endocrine orbitopathy. Otolaryngologic Clinics of North America 21: 93–102.CrossRefGoogle ScholarPubMed
Wollheim, F. A. (1984) Acute and long-term complications of corticosteroid pulse therapy. Scandinavian Journal of Rheumatology 54(Suppl): 27–32.CrossRefGoogle ScholarPubMed