title: A pitfall of decompression for severe exophthalmos: role of the posterior wall of the maxillary sinus-1.
abstract: This report addresses a pitfall of decompression for severe exophthalmos. In mild cases, removal of the orbital floor is an effective treatment, but in severe cases, the results of this approach are sometimes unsatisfactory, and only decompression is necessary. In these cases, orbital decompression in 3 areas including the medial wall, the lateral wall, and the orbital floor is usually performed. A 5.0-mm mean reduction in exophthalmos is observed, but more reduction is difficult to achieve.We considered the possibility that removal of the posterior wall of the maxillary sinus is critically important to achieving greater recovery. It is proposed that this technique is effective in creating about 10 mm of improvement for severe exophthalmos.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan. ysakamoto@z8.keio.jp
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Nakajima
authors.forename: Ikkei
authors.initials: I
authors.lastname: Tamada
authors.forename: Shogo
authors.initials: S
authors.lastname: Kasai
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kishi
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D019299:Decompression, Surgical / Q000379:methods*; D004954:Esthetics; D005094:Exophthalmos / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008443:Maxillary Sinus / Q000601:surgery*; D009915:Orbit / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation; D017060:Patient Satisfaction; D020127:Recovery of Function / Q000502:physiology; D014057:Tomography, X-Ray Computed / Q000379:methods