P.102 Expanded endoscopic endonasal approach for orbital apex decompression

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Endonasal endoscopic orbital decompression in patients with Graves' ophthalmopathy.

AIM To present the results of endonasal endoscopic orbital decompression in patients with Graves' ophthalmopathy. METHODS Endonasal endoscopic orbital decompression was performed in 32 orbits of 21 patients with Graves' ophthalmopathy. In 17 patients the surgery was performed because of active ophthalmopathy non-responsive to conservative treatment, and in 4 patients for esthetic reasons. Pre...

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Effects of bilateral orbital decompression by an endoscopic endonasal approach in dysthyroid orbitopathy.

AIMS The efficacy of endoscopic endonasal orbital decompression in dysthyroid orbitopathy was analysed. METHODS In 21 consecutive cases of bilateral operation short term (10 (SD 6) days after operation) and long term (156 (12) days after operation) results were recorded. RESULTS Short term results showed that vision of the more affected eye improved from a mean of 0.35 to 0.59; vision impro...

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Endoscopic and transconjunctival orbital decompression for thyroid-related orbital apex compression.

OBJECTIVE To evaluate the efficacy and safety of a combined endoscopic and transconjunctival orbital decompression in patients with thyroid-related orbitopathy with orbital apex compression. STUDY DESIGN Retrospective review. METHODS A sequential series of patients with thyroid-related orbitopathy presenting with orbital apex compressive myopathy with and without optic neuropathy who were u...

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Transnasal endoscopic orbital decompression

Transnasal endoscopic orbital decompression is a viable alternative for external orbital decompression. Today, it can be performed due to the great development of endoscopic technology and specific endoscopic surgical instruments. It requires strong anatomic knowledge and skilled hands. We present our experience with endoscopic orbital decompression focusing on the surgical technique used in ou...

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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 ...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2019

ISSN: 0317-1671,2057-0155

DOI: 10.1017/cjn.2019.196