Journal article

Publication year: 2010

Pages: 204-210

Journal: Journal of Cranio-Maxillofacial Surgery

Volume number: 38

Issue number: 3

ISSN: 1010-5182

DOI Link: https://doi.org/10.1016/j.jcms.2009.04.001

Publisher: Elsevier

Abstract: 
Introduction: Today, elective surgical procedures are performed on patients with thyroid-associated orbitopathy for aesthetic and "quality-of-life" reasons and only rarely in emergency cases to prevent blindness. The surgical methods should have minimal adverse effects and reliable outcomes. Patients and methods: En bloc resection of the lateral orbital rim and part of the orbital floor was performed on 44 patients over a 7-year period. An osteotomy was made in the inferolateral wall of the orbit via a subciliary incision and the periorbital tissues were resected. Exophthalmos reduction, postoperative changes in strabismus and extraocular muscle function, visual acuity and follow-on operations were analysed. Results: Most patients underwent surgery for exophthalmos, conjunctival and corneal symptoms. The average exophthalmos reduction was 3.8 +/- 1.5 mm (range 1.5-7.5 mm, p < 0.01). No loss of vision was noted. Overall, a reduction in diplopia was achieved, although new strabismus appeared after surgery in one patient. Nineteen patients required additional lid surgery. Conclusion: The procedure for exophthalmos reduction is as effective as other two-wall expansion methods and it features low risks for loss of vision, new-onset diplopia and other disturbances of extraocular motility. (C) 2009 European Association for Cranio-Maxillo-Facial Surgery

Harvard Citation style: Schaaf, H., Santo, G., Graef, M. and Howaldt, H. (2010) En bloc resection of the lateral orbital rim to reduce exophthalmos in patients with Graves' disease, Journal of Cranio-Maxillofacial Surgery, 38(3), pp. 204-210. https://doi.org/10.1016/j.jcms.2009.04.001

APA Citation style: Schaaf, H., Santo, G., Graef, M., & Howaldt, H. (2010). En bloc resection of the lateral orbital rim to reduce exophthalmos in patients with Graves' disease. Journal of Cranio-Maxillofacial Surgery. 38(3), 204-210. https://doi.org/10.1016/j.jcms.2009.04.001