Transantral orbital decompression for Graves' disease.

Abstract

Seventy-five patients with Graves' disease have been treated by transantral orbital decompression. In the first post-operative month the average reduction in proptosis was 3 mm. In the years following the operation this reduction increased to an average of 4.5 mm. In 32% of the patients without diplopia before surgery, the diplopia that developed afterwards did not disappear, 83% of them were successfully treated by extraocular muscle surgery. Seventy per cent of the patients experienced immediate post-operative improvement of visual acuity. Only three patients remained with anaesthesia of the infra-orbital nerve. A total of 65% of the patients found the operation procedure beneficial while 76% were satisfied with the ophthalmological result. We conclude, that transantral orbital decompression, though with moderate morbidity, gives good results in patients with the orbital complications of Graves' disease.

• Authors: F Tjon, M Sang, P Knegt, R Wijngaarde, R Poublon, E van der Schans, E Krenning
• Journal: Clinical otolaryngology and allied sciences (Clin Otolaryngol Allied Sci) Vol. 19 Issue 4 Pg. 290-4 (Aug 1994) ISSN: 0307-7772 [Print] England
• PMID: 7994883 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Female
• Graves Disease (diagnosis, surgery)
• Humans
• Male
• Maxillary Sinus (surgery)
• Middle Aged
• Orbit (surgery)
• Surveys and Questionnaires
• Tomography, X-Ray Computed
• Treatment Outcome