title: Surgical treatment of Graves orbitopathy: a modified balanced technique.
abstract: Surgery has a definite place in the treatment of the exophthalmos in Graves orbitopathy. Thirty-two patients with Graves orbitopathy were operated on. Twenty patients received a three-wall orbital decompression. Five patients received a two-wall orbital decompression with lipectomy and seven patients underwent a two-wall orbital decompression combined with an advancement osteotomy of the supra-, lateral- and infra-orbital rim and a lipectomy. In cases with Hertel values less than 25 mm, the two-wall orbital decompression with removal of orbital fat. and in cases with Hertel values more than 25 mm, the two-wall orbital decompression with lipectomy and an advancement osteostomy of the supra-, lateral- and infraorbital rim is the treatment of choice.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Medisch Centrum Leeuwarden, The Netherlands.
authors.forename: K G
authors.initials: KG
authors.lastname: van der Wal
authors.forename: J G
authors.initials: JG
authors.lastname: de Visscher
authors.forename: R J
authors.initials: RJ
authors.lastname: Boukes
authors.forename: B
authors.initials: B
authors.lastname: Smeding
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D012189:Retrospective Studies