Temporal fossa orbital decompression for treatment of disfiguring thyroid-related orbitopathy.

Abstract

OBJECTIVE:

To describe a technique for treating disfiguring thyroid-related orbitopathy by bony decompression into the temporal fossa and to analyze results.

DESIGN:

Retrospective, noncomparative case series with description of a surgical technique.

PARTICIPANTS:

Thirty-three consecutive patients with disfiguring thyroid-related orbitopathy undergoing decompression into the temporal fossa with the described technique.

INTERVENTION:

Reduction in exophthalmos by removal of the lateral orbital wall and the greater sphenoid wing using an eyelid crease approach.

MAIN OUTCOME MEASURES:

Amount of reduction in exophthalmos after surgery and incidence of induced postoperative diplopia.

RESULTS:

The average reduction in exophthalmos was 4.51 mm (range, 3-6 mm; standard deviation, +/-0.95 mm). New-onset postoperative diplopia was observed in 1 patient.

CONCLUSIONS:

Bony decompression of the orbit into the temporal fossa via an eyelid crease approach is an effective treatment for disfigurement in patients with thyroid-related orbitopathy and no preoperative diplopia.

• Authors: Eli L Chang, Alfio P Piva
• Journal: Ophthalmology (Ophthalmology) Vol. 115 Issue 9 Pg. 1613-9 (Sep 2008) ISSN: 1549-4713 [Electronic] United States
• PMID: 18486219 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Decompression, Surgical (methods)
• Female
• Graves Ophthalmopathy (diagnostic imaging, surgery)
• Humans
• Male
• Middle Aged
• Ophthalmologic Surgical Procedures
• Retrospective Studies
• Sphenoid Bone (surgery)
• Temporal Bone (surgery)
• Tomography, X-Ray Computed