Transconjunctival endoscopic orbital decompression

Endoscopic and Transconjunctival Orbital Decompression for Thyroid‐Related Orbital Apex Compression

“…The technique of combined endoscopic and transconjunctival decompression was first reported in 1997. 16,17 This procedure offers the advantages of both the intranasal endoscopic decompression of the medial orbital wall and optic nerve and the more complete and safe access to the inferior wall provided by the transconjunctival approach. To validate combined transconjunctival and endoscopic decompression for the treatment of thyroid‐related orbital apex compressive myopathy with and without optic neuropathy, we reviewed our experience in terms of 1) effectiveness of orbital decompression and, when indicated, optic nerve decompression, as measured by visual improvement; 2) complications and morbidity; and 3) duration of hospitalization.…”

Course of Proptosis in Patients With Graves' Disease After Endoscopic Orbital Decompression

“…Several endoscopic orbital decompression techniques such as transnasal endoscopic orbital decompression, 7,19 transconjunctival approach combined with transnasal endoscopic orbital decompression, 21 and transconjunctival approach combined with external medial orbitotomy incision 22 have been suggested to improve the visual acuity as well as to reduce the proptosis of patients with Graves' disease.…”

“…Therefore a minimally invasive endoscopic transconjunctival approach to the orbital floor has been suggested as an adjunct to the transnasal endoscopic technique to provide complete removal of the orbital floor 21 . Nonetheless, results of the transconjunctival approach combined with transnasal endoscopic decompression are limited to two case reports 21 . The aims of the present study were to evaluate the results of follow‐up and the postoperative course of proptosis in patients with Graves' disease who underwent combined transconjunctival and transnasal endoscopic decompression.…”

“…Recently transnasal endoscopic orbital decompression with patients under local anesthesia was shown to be well tolerated by most patients 20 . However, the transnasal endoscopic technique cannot provide the removal of the entire orbital floor 21 . Therefore a minimally invasive endoscopic transconjunctival approach to the orbital floor has been suggested as an adjunct to the transnasal endoscopic technique to provide complete removal of the orbital floor 21 .…”

“…However, the transnasal endoscopic technique cannot provide the removal of the entire orbital floor 21 . Therefore a minimally invasive endoscopic transconjunctival approach to the orbital floor has been suggested as an adjunct to the transnasal endoscopic technique to provide complete removal of the orbital floor 21 . Nonetheless, results of the transconjunctival approach combined with transnasal endoscopic decompression are limited to two case reports 21 .…”