| Orbital decompression in graves' ophthalmopathy by medial and lateral wall removal. | |
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MedLine Citation:
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PMID: 16087011 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Stefano Sellari-Franceschini; Stefano Berrettini; Amelia Santoro; Marco Nardi; Salvatore Mazzeo; Luigi Bartalena; Barbara Mazzi; Maria Laura Tanda; Claudio Marcocci; Aldo Pinchera |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 133 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-08-09 Completed Date: 2005-09-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 185-9 Citation Subset: IM |
Affiliation:
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Department of Neuroscience, Ia ENT division, Pisa, Italy. s.sellari@med.unipi.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cohort Studies Decompression, Surgical / methods* Ethmoid Sinus / surgery* Exophthalmos / etiology, surgery* Female Follow-Up Studies Graves Disease / complications, radiography Humans Male Middle Aged Ophthalmologic Surgical Procedures / methods Orbit / surgery* Postoperative Complications Retrospective Studies Risk Assessment Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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