title: [Orbital decompression in Grave's disease: comparison of techniques].
abstract: Grave's ophthalmopathy is an inflammatory, autoimmune disorder often associated with Grave's disease. The inflammatory infiltration involves the retrobulbar fatty tissue and the extrinsic eye muscles, causing proptosis, extraocular muscle dysfunction and often diplopia. Orbital decompression is an effective treatment in such cases, particularly when resistant to drugs and external radiation therapy. This work compares the results of orbital decompression performed by removing: a) the medial and lateral walls (Mourits technique) in 10 patients (19 orbits) and b) the medial and lower walls (Walsh-Ogura technique) in 17 patients (31 orbits). The results show that removing the floor of the orbit enables better reduction of proptosis but more easily leads to post-operative diplopia. Thus it proves necessary to combine the two techniques, modifying the surgical approach on a case-by-case basis.
authors.affiliation: Dipartimento di Neuroscienze, Università di Pisa.
authors.forename: S
authors.initials: S
authors.lastname: Sellari-Franceschini
authors.forename: S
authors.initials: S
authors.lastname: Berrettini
authors.forename: F
authors.initials: F
authors.lastname: Forli
authors.forename: L
authors.initials: L
authors.lastname: Bartalena
authors.forename: C
authors.initials: C
authors.lastname: Marcocci
authors.forename: M L
authors.initials: ML
authors.lastname: Tanda
authors.forename: M
authors.initials: M
authors.lastname: Nardi
authors.forename: A
authors.initials: A
authors.lastname: Lepri
authors.forename: A
authors.initials: A
authors.lastname: Pinchera
mesh_terms: D019299:Decompression, Surgical / Q000379:methods*; D006111:Graves Disease; D006801:Humans; D009916:Orbital Diseases / Q000175:diagnosis / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
vernacular_title: La decompressione orbitaria nella malattia di Basedow. Tecniche a confronto.