Endoscopic transnasal orbital balanced decompression technique for severe Graves' orbitopathy
10.3760/cma.j.issn.1673-0860.2015.11.005
- VernacularTitle:内镜下平衡眶减压术治疗重度Graves'眼病
- Author:
Wenjie SHI
1
;
Fengyuan SUN
;
Dongrun TANG
;
Yana ZHANG
;
Tianming JIAN
Author Information
1. 天津市第一中心医院耳鼻咽喉头颈外科
- Keywords:
Graves ophthalmopathy;
Decompression,surgical;
Endoscopy;
Nasal surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2015;50(11):904-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the efficacy of endoscopic transnasal orbital balanced decompression technique for the treatment of severe Graves' orbitopathy.Methods Six cases (12 eyes) of severe Graves'orbitopathy were included in this study.All patients were undergone endoscopic transnasal orbital balanced decompression technique (orbital inner and lower wall decompression + lateral orbital decompression) for severe Graves' orbitopathy and serious affecting visual function or appearance.Results The follow-up ranged from 12 months to 2 years and 4 months.Postoperatively, the visual acuity markly improved from 0.23 ±0.08 to 0.48 ±0.13 (t =-5.749, P ＜0.001).Proptosis measured by exophthalmoter distictly reduced from (22.08 ± 1.08) mm to (15.67 ± 1.44) mm (t =17.924, P ＜ 0.001).The palpebral fissures obviously reduced from (12.03 ± 0.91) mm to (8.62 ± 0.75) mm(t =9.600, P ＜ 0.001), and orbital volume evidently increased from (26.84 ± 0.62) cm3 to (31.56 ± 1.10) cm3 (t =-16.567, P ＜ 0.001).Compared with the preoperative result, the orbital pressure was significantly decreased after operation (t =-6.759 (Y =100 g), t =-11.850 (Y =200 g), t =-6.189 (Y =300 g), P ＜ 0.001).Diplopia was appeared in 3 cases, and disappeared 3 to 5 months after surgery.Conclusion Endoscopic transnasal orbital balanced decompression technique is effective for the treatment of severe Graves' orbitopathy.
