Balanced (endoscopic medial and transcutaneous lateral) orbital decompression in Graves’ orbitopathy

Hernández‐García, Estefanía; San-Román, J Javier; González, Ramón; Nogueira, Araceli; Genol, Ignacio; Stoica, Bazil; Toledano, Nicolas; Plaza, Guillermo

doi:10.1080/00016489.2017.1354394

Cited by 21 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various things are reported in the paper on periorbita incision. The method of removing the orbital wall and then completely removing the periorbita [4,21], the method of 'The orbital sling procedure' to keep some periorbita on the medial rectus muscle intact [22], and the method of making a parallel incision of the periorbita from the posterior to the anterior is being reported [23,24]. If you perform the method of completely removing periorbita and the method of orbital sling procedure, periorbita does not protect the edge of the removed orbital wall and can cause damage to the EOM.…”

Section: Discussionmentioning

confidence: 99%

Minimization of Extraocular Muscle Damage in Thyroid Eye Disease Patients Following Surgery Based on Computerized Biomechanics

Jeong

Lee

Ryu

et al. 2021

Preprint

View full text Add to dashboard Cite

Background To evaluate the risk of general orbital decompression in patients with thyroid eye disease (TED).Methods In this study, we replicated the behavior of intraorbital tissue in patients with TED based on finite element analysis. The orbit and intraorbital tissues of TED patient who underwent orbital decompression were modeled as finite element models. The stress was examined at a specific location of the removed orbital wall of a patient with TED who had undergone orbital decompression, and its variation was investigated and analyzed as a function of the shape and dimension (to be removed).Results In orbital decompression surgery which removes the orbital wall in a rectangular shape, the stress at the orbital wall decreased as the width and depth of the removed orbital wall increased. In addition, the stress of the non-chamfered model (a form of general orbital decompression) was higher than that of the chamfered model. Especially, in the case of orbital decompression, it can be seen that the chamfered model compared to the non-chamfered model have the stress reduction rate from 11.08% to 97.88%.Conclusions It is inferred that if orbital decompression surgery considering the chamfered model is performed on an actual TED patient, it is expected that the damage to the extraocular muscle caused by the removed orbital wall will be reduced.

show abstract

Section: Discussionmentioning

confidence: 99%

Minimization of Extraocular Muscle Damage in Thyroid Eye Disease Patients Following Surgery Based on Computerized Biomechanics

Jeong

Lee

Ryu

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…However, conflicting reports have also emerged. For example, there have been many analyses suggesting utility of “balanced” decompression and even 3‐wall decompression techniques, with experienced surgeons reporting a low complication rate . Furthermore, in a 2012 study, Rocchi et al reported a significantly higher incidence of postoperative primary gaze diplopia for combined medial endoscopic and lateral external decompression vs lateral wall decompression for patients with Grave's orbitopathy .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic and external approaches for orbital decompression: an analysis of trends from a U.S. perspective

Svider

Arianpour

Nguyen

et al. 2018

Int Forum Allergy Rhinol.

View full text Add to dashboard Cite

There has not been a clear movement toward the endoscopic approach for orbital decompression, with modest growth when compared with external approaches. Potential explanations include the specialty-exclusive nature of approaches, as well as a lack of consensus; the latter idea is further reinforced by geographic variation. High-quality prospective trials may clarify the role of endoscopic approaches in these patients.

show abstract

“…Surgical orbital decompression involves removal of one or more orbital bony walls [3,[9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Orbital decompression for thyroid eye disease: surgical treatment outcomes in endocrinological assessment

Jurek-Matusiak

Brożek-Mądry

Jastrzębska

et al. 2021

Endokrynologia Polska

View full text Add to dashboard Cite

show abstract

Balanced (endoscopic medial and transcutaneous lateral) orbital decompression in Graves’ orbitopathy

Abstract: These results suggest that endoscopic medial wall combined with transcutaneous lateral wall orbital decompression is an effective and safe treatment for the symptomatic dysthyroid eye disease with important proptosis or compressive optic neuropathy.

Cited by 21 publications

References 19 publications

Minimization of Extraocular Muscle Damage in Thyroid Eye Disease Patients Following Surgery Based on Computerized Biomechanics

Minimization of Extraocular Muscle Damage in Thyroid Eye Disease Patients Following Surgery Based on Computerized Biomechanics

Endoscopic and external approaches for orbital decompression: an analysis of trends from a U.S. perspective

Orbital decompression for thyroid eye disease: surgical treatment outcomes in endocrinological assessment

Contact Info

Product

Resources

About