Progressive Exophthalmos Following Thyroidectomy; Its Pathology and Treatment

Naffziger, Howard C.

doi:10.1097/00000658-193110000-00013

Cited by 213 publications

(23 citation statements)

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“…Surgical decompression of the orbit for thyroid ophthalmopathy was initially advocated in 1911 by Dollinger, who described lateral orbital decompression 1 . An intracranial approach to orbital decompression was described in 1930 by Naffziger 15 . This technique was not widely adopted because of the morbidity of the procedure and postoperative intracranial complications such as meningitis and transmission of central nervous system (CNS) pulsations to the orbit 16 .…”

Section: Discussionmentioning

confidence: 99%

Balanced orbital decompression for graves' ophthalmopathy

1998

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Section: Discussionmentioning

confidence: 99%

Balanced orbital decompression for graves' ophthalmopathy

1998

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“…13 Naff ziger, who performed a craniotomy to reach the anterior cranial fossa and orbit, used another technique for orbital decompression. 14 Th e Caldwell-Luc approach was fi rst used by Hirsch to remove the orbital fl oor. 15 Walsh and Ogura modifi ed this approach to include decompression of the medial wall.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Orbital Decompression of an Isolated Medial Orbital Wall Fracture: A Case Report

et al. 2011

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Motor vehicle and bicycle accidents are the most common causes of blunt head trauma. Other common etiologies are falls, physical violence, and sports accidents. Blunt trauma toward the superior orbital rim, lateral orbital rim, frontal region, and cranium may lead to intraorbital hematoma. A fracture following the blunt head trauma may form a one-way valve, which leads to orbital emphysema and a more pronounced increase in orbital pressure. Increased tissue pressure in an enclosed space will eventually lead to an inevitable decrease in tissue perfusion. It is important to treat the patient within the fi rst 48 hours following the trauma, which is accepted as the "critical period. " In this report we present a case involving a 42-year-old man who was admitted to our clinic with left periorbital pain, edema, proptosis, and blurred vision aft er experiencing physical violence. Th e medical history and physical examination fi ndings, along with imaging studies and a description of the endoscopic orbital decompression procedure within the fi rst 24 hours, are reported.

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“…He adapted Kroenlein's technique [20] for removal of an orbital dermoid cyst to decompress into the subtemporal fossa. The trans-frontal orbital roof decompression advocated by Naffziger in 1931 allowed access to both orbital apices in bilateral DON but again offered little in the way of proptosis reduction [21]. It is a time-consuming operation requiring the services of a neurosurgeon and is not without complications and risks.…”

Section: History Of Decompression Techniquesmentioning

confidence: 99%

“…Lateral wall decompression (Dollinger 1911) Transfrontal roof decompression (Naffziger 1931) Medial wall decompression (Sewall 1936) Orbital floor decompression (Hirsch 1950) and Ogura 1957) Endonasal apical (Kennedy et al 1990, Michel et al 2001 Transantral Caldwell-Luc decompression (Walsh compared to deep lateral wall decompression alone in terms of average proptosis reduction (4.5 mm). Interestingly, preoperative strabismus resolved spontaneously in 25% of cases in the balanced decompression group and in 60% of cases in the lateral decompression group.…”

Section: Isrn Ophthalmologymentioning

confidence: 99%

Orbital decompression in thyroid eye disease

Kim¹,

Liss

2018

Operative Techniques in Otolaryngology-Head and Neck Surgery

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Though enlargement of the bony orbit by orbital decompression surgery has been known for about a century, surgical techniques vary all around the world mostly depending on the patient's clinical presentation but also on the institutional habits or the surgeon's skills. Ideally every surgical intervention should be tailored to the patient's specific needs. Therefore the aim of this paper is to review outcomes, hints, trends, and perspectives in orbital decompression surgery in thyroid eye disease regarding different surgical techniques.

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Progressive Exophthalmos Following Thyroidectomy; Its Pathology and Treatment

Cited by 213 publications

References 0 publications

Balanced orbital decompression for graves' ophthalmopathy

Balanced orbital decompression for graves' ophthalmopathy

Endoscopic Orbital Decompression of an Isolated Medial Orbital Wall Fracture: A Case Report

Orbital decompression in thyroid eye disease

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