[Orbital decompression by endoscopic transnasal and transantral approach in thyroid-associated ophthalmopathy].
OBJECTIVE
We evaluated the results of orbital decompression in patients with Graves' disease.


METHODS
Orbital decompression was performed by endoscopic transnasal medial wall approach and transantral inferior wall approach in 18 eyes of 12 patients (8 males, 4 females; mean age 41 years; range 24 to 65 years). The degree of exophthalmos was evaluated with the use of the Hertel exophthalmometer preoperatively, and postoperatively in the 24th hour, first and third months.


RESULTS
At the end of the third month, exophthalmos decreased by a mean of 4.4 mm (range 3 to 7 mm). Visual acuity and field defects improved considerably in all patients. Complications occurred in three cases (25%) including diplopia, displacement of one eye inferiorly, and maxillary sinusitis caused by the encroachment of the adipose tissue upon the ostium, respectively.


CONCLUSIONS
With the increasing ease of surgical procedures and enhanced experience on the part of surgeons, successful treatment of exophthalmos has become possible with decreased complication rates.
Cansiz
Harun
H
Department of Otolaryngology, Medicine Faculty of Cerrahpaşa, Istanbul University, Turkey. hcansiz@turk.net
Tuskan
Kemal
K
Kalekoğlu
Nuran
N
Oztürk
Ozcan
O
Inci
Ender
E
Pazarli
Halit
H
Sekercioğlu
Nihat
N
D000293:Adolescent; D000328:Adult; D019299:Decompression, Surgical / Q000379:methods; D004724:Endoscopy / Q000379:methods; D005260:Female; D006111:Graves Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014792:Visual Acuity