[Emergency endoscopical orbital decompression in case of Graves-Basedov disease].

نویسندگان

  • Bogdan Kolebacz
  • Grazyna Stryjwska-Makuch
  • Szczepan Bartek
  • Barbara Sidorowicz
چکیده

Graves' disease may result in significant proptosis that causes visual loss. This has been traditionally managed surgically by external bony skeleton decompression. Tran nasal endoscopic orbital decompression is as a new technique that avoids the need for cutaneous or gingival incisions. Decompression of the medial orbital wall can be performed up to the anterior wall of the sphenoid sinus. This technique produces decompression which is comparable to external techniques. The authors present an emergency case of endoscopic orbital decompression in Graves'-Basedov patient with loss of vision. Vision recovery was immediately after endoscopic transnasal decompression. Endoscopic orbital decompression is recommended as an alternative to traditional decompression techniques.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Changes in Choroidal Perfusion after Orbital Decompression Surgery for Graves' Ophthalmopathy

PURPOSE To assess choroidal perfusion before and after orbital decompression surgery in patients with Graves' ophthalmopathy. METHODS In this interventional case series, surgical decompression for optic nerve compromise was performed on four eyes of three patients with Graves' disease. Complete ophthalmic examination including visual acuity, color vision, and intraocular pressure assessment w...

متن کامل

Endoscopic Orbital Decompression for Graves' Ophthalmopathy*

Background: In patients with Graves' ophthalmopathy, orbital decompression surgery is indicated for compressive optic neuropathy, severe corneal exposure, or for cosmetic deformity due to proptosis. Traditionally this has been performed through a transantral approach, but the associated complication rate is high. More recently, endoscopic orbital decompression has been performed successfully wi...

متن کامل

Re: "Cerebral vasospasm and ischemia after orbital decompression for Graves ophthalmopathy".

PURPOSE We describe the first reported cases of cerebral vasospasm, ischemia, and infarct after orbital decompression surgery for Graves disease-related ophthalmopathy. METHODS We present two patients who had inadvertent penetration of the dura mater during orbital decompression surgery. One case was recognized at surgery; the other was not. All patient data were gathered and relayed in accor...

متن کامل

Endoscopic orbital decompression for Graves' ophthalmopathy.

Graves' disease may occasionally result in significant proptosis that is either cosmetically unacceptable or causes visual loss. This has traditionally been managed surgically by external decompression of the orbital bony skeleton. Trans-nasal endoscopic orbital decompression is emerging as a new minimally-invasive technique, that avoids the need for cutaneous or gingival incisions. Decompressi...

متن کامل

Endoscopic intranasal orbital decompression in the course of Graves’ orbitopathy

The authors present the endoscopic intranasal orbital decompression, one of the surgical techniques used for orbital decompression. It can be applied for various indications. The most common indications are: maxillo-facial trauma, orbital haemorrhage, subperiorbital abscess as the complication of sinusitis, optic neuropathy, thyroidassociated orbitopathy (Graves’ orbitopathy). The authors concl...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Otolaryngologia polska = The Polish otolaryngology

دوره 64 1  شماره 

صفحات  -

تاریخ انتشار 2010