[A comparative study between the results of antro-ethmoidal orbital decompression isolated and associated with orbital fat removal].
OBJECTIVE
To compare the results of isolated antral-ethmoidal orbital decompression and that associated with orbital fat removal in patients with dysthyroid orbitopathy.


METHODS
Nineteen isolated antral-ethmoidal orbital decompressions were performed in a group of 12 patients (19 orbits) with the diagnosis of dysthyroid ophthalmopathy in the quiescent stage. The same procedure, but in association with orbital fat removal, were performed in another group of 8 patients (10 orbits) also with the diagnosis of dysthyroid ophthalmopathy in the quiescent stage. The results of both groups were compared.


RESULTS
In the first group the amount of retroplacement of the globe achieved 1-5 mm (mean 3.68+/-1.10 mm) and in the second group it achieved 1-5 mm (mean 3.25+/-1.36 mm).


CONCLUSIONS
There was no significant difference between the results of the isolated antral-ethmoidal orbital decompression and that associated with orbital fat removal. The removal of 1 ml of seems not to improve the retroplacement of the globe as an association with a 2-wall orbital decompression. However, many conditions must be considered to conclude any comparison between the two orbital decompression techniques, such as orbital soft tissue compliance, amount of fat removal and size of bone opening.
Gonçalves
Allan Christian Pieroni
AC
Divisão de Clínica Oftalmológica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP. mlrmonteiro@terra.com.br
Moura
Frederico Castelo
FC
Moura
Janete P
JP
Bloise
Walter
W
Monteiro
Mario Luiz Ribeiro
ML
D000273:Adipose Tissue / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D019299:Decompression, Surgical / Q000379:methods*; D005004:Ethmoid Bone / Q000601:surgery*; D005260:Female; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D015187:Lipectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D017678:Sex Distribution; D016896:Treatment Outcome