OBJECTIVE To evaluate the efficacy of endoscopic transnasal orbital decompression alone for thyrotoxic orbitopathy. DESIGN Retrospective review of consecutive procedures. SETTING Tertiary referral otorhinolaryngology centre. PATIENTS Twenty-three eyes of 14 patients. INTERVENTION Endoscopic transnasal orbital decompression. MAIN OUTCOME MEASURES Proptosis reduction, intra-ocular press...

Background: During the past decades, surgical intervention is the primary treatment modality for fronto-orbital fibrous dysplasia involving optic nerve. However, controversy has surrounded the role of intra-canal decompression in a number of ways. Objective: Our philosophy of saving optic nerve is that treatment paradigms should be tailored to the individual. Herein, we describe three patients ...

STUDY DESIGN Retrospective. PURPOSE To report the outcomes of patients with lumbar spinal stenosis treated with percutaneous endoscopic decompression, focusing on the results of clinical evaluations. OVERVIEW OF LITERATURE There are no studies about two portal percutaneous endoscopic decompression in the treatment of lumbar spinal stenosis. METHODS Medical and surgical complications were ...

In spite of the best medical treatment, large hemispheric infarction, resulting from acute occlusion of either the internal carotid or the proximal middle cerebral artery with insufficient collateral blood flow is associated with a high case fatality rate of approximately 60%. Thus, a decompressive hemicraniectomy is considered a life-saving procedure for this devastating disease. Findings of t...

A case is reported with generalised spinal stenosis and severe neurological complications.Neurological and radiological findings and surgical procedures are discussed. The patient was admitted with profound spastic lower paraparesis and the upper limbs were paretic. After an emergency lumbar decompression, the patient improved and on the twelfth day he was able to take a short walk.Twenty-two d...

OBJECTIVES Incomplete return of facial motor function and synkinesis continue to be long-term sequelae in some patients with Bell's palsy. The aim of this report is to describe a prospective study in which a well-defined surgical decompression of the facial nerve was performed in a population of patients with Bell's palsy who exhibit the electrophysiologic features associated with poor outcomes...

AIM To investigate the effectiveness of local steroid injection and surgical decompression in the treatment of patients with severe carpal tunnel syndrome (CTS) and also to compare short-term outcomes using clinical and electrophysiological criteria. MATERIAL AND METHODS The patients diagnosed as severe CTS were divided into two groups. Group 1 received local steroid injection and Group 2 und...

Treatment of proptosis in the stable phase of Graves’ orbitopathy differs significantly from that in the acute inflammatory phase. The treatment paradigm employed at the Harkness Eye Institute, reserves surgical decompression in the acute phase for those cases of optic neuropathy that fail to respond to orbital radiotherapy or when radiotherapy is contraindicated. Owing to the 90% success rate ...

PURPOSE To evaluate the outcome of eyelid retraction surgery in thyroid-related orbitopathy (TRO) patients in 2 different surgical settings: done simultaneously with orbital decompression or as a staged procedure after orbital decompression. DESIGN Retrospective, comparative, nonrandomized clinical study. PARTICIPANTS Ninety-six patients (158 eyes). METHODS A review of electronic medical ...