Orbital decompression for thyroid eye disease.
The literature regarding orbital decompression for thyroid eye disease is vast, spanning multiple specialty areas including neurosurgery, head and neck, maxillofacial, and ophthalmic plastic surgery. Although techniques have advanced considerably over the more than 100 years during which this procedure has been performed, the 4 major approaches remain: transorbital, transcranial, transantral, and transnasal. The explosion in literature related to orbital decompression has mostly involved minor technical variations on broader surgical themes. The purpose of this review is to organize the major approaches in terms of bony anatomy and to contextualize variation in transdisciplinary techniques within a common conceptualization.
Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, Los Angeles, California, USA. Electronic address: rootman@jsei.ucla.edu.
Daniel B
DB
Rootman
D000273:Adipose Tissue / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods*; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications
balanced decompression; dysthyroid optic neuropathy; fat decompression; lateral decompression; medial decompression; orbital decompression; surgical technique; thyroid eye disease