Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 3 , Pages 204-210 , April 2010

En bloc resection of the lateral orbital rim to reduce exophthalmos in patients with Graves' disease

  • Heidrun Schaaf

      Affiliations

    • Department of Maxillofacial Surgery (Chairperson: Dr. Dr. Hans-Peter Howaldt, Professor), University of Giessen, Germany
    • Corresponding Author InformationDr. Dr. Heidrun SCHAAF, Department of Maxillofacial Surgery Chairperson Prof. Dr. Dr. Hans-Peter Howaldt University of Giessen Klinikstrasse 29, 35385 Giessen, Germany. Tel.: +49 0641 9946271; Fax: +49 0641 9946279.
    • ,
  • Gregor Santo

      Affiliations

    • Department of Maxillofacial Surgery (Chairperson: Dr. Dr. Hans-Peter Howaldt, Professor), University of Giessen, Germany
    • ,
  • Michael Gräf

      Affiliations

    • Department of Ophthalmology (Chairperson: Dr. B. Lorenz, Professor), University of Giessen, Germany
    • ,
  • Hans-Peter Howaldt

      Affiliations

    • Department of Maxillofacial Surgery (Chairperson: Dr. Dr. Hans-Peter Howaldt, Professor), University of Giessen, Germany

Received 23 March 2008 ,Accepted 3 April 2009.

References 

  1. Appling WD, Patrinely JR, Salzer TA. Transconjunctival approach vs subciliary skin-muscle flap approach for orbital fracture repair. Arch Otolaryngol Head Neck Surg. 1993;119:1000–1007
  2. Barkhuysen R, Nielsen CC, Klevering BJ, Van Damme PA. The transconjunctival approach with lateral canthal extension for three-wall orbital decompression in thyroid orbitopathy. J Craniomaxillofac Surg. 2009;37:127–131
  3. Cruz AA, Leme VR. Orbital decompression: a comparison between trans-fornix/transcaruncular inferomedial and coronal inferomedial plus lateral approaches. Ophthal Plast Reconstr Surg. 2003;19:440–445discussion 445
  4. Ferreira MC, Tuma P, Costa MP, Bloise W, Alves CA. Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience. Rev Hosp Clin Fac Med Sao Paulo. 2002;57:217–222
  5. Garrity JA, Fatourechi V, Bergstralh EJ, Bartley GB, Beatty CW, DeSanto LW, et al. Results of transantral orbital decompression in 428 patients with severe Graves' ophthalmopathy. Am J Ophthalmol. 1993;116:533–547
  6. Gerding MN, Terwee CB, Dekker FW, Koornneef L, Prummel MF, Wiersinga WM. Quality of life in patients with Graves' ophthalmopathy is markedly decreased: measurement by the medical outcomes study instrument. Thyroid. 1997;7:885–889
  7. Goldberg RA, Weinberg DA, Shorr N, Wirta D. Maximal, three-wall, orbital decompression through a coronal approach. Ophthalmic Surg Lasers. 1997;28:832–843
  8. Ingbar SH. The thyroid gland. In:  Wilson JD,  Foster DW editor. Williams textbook of endocrinology. 7th edn. Philadelphia London: Saunders; 1985;p. 682–815
  9. Kacker A, Kazim M, Murphy M, Trokel S, Close LG. “Balanced” orbital decompression for severe Graves' orbitopathy: technique with treatment algorithm. Otolaryngol Head Neck Surg. 2003;128:228–235
  10. Kalmann R, Mourits MP, van der Pol JP, Koornneef L. Coronal approach for rehabilitative orbital decompression in Graves' ophthalmopathy. Br J Ophthalmol. 1997;81:41–45
  11. Koornneef L, Mourits MP. Orbital decompression: for decreased visual acuity or for cosmetic reasons. Orbit. 1988;7:225–238
  12. Marecaux C, Dekeister C, Lopez R, Modiga O, Paoli JR. O.226 Computer assisted orbital decompression for Grave's ophthalmopathy. J Craniomaxillofac Surg. 2006;34:63–64
  13. Matton G. Resection “en bloc” of the lateral wall and floor for decompression of the orbit in dysthyroid exophthalmos. Eur J Plast Surg. 1991;14:114–119
  14. Matton G. Recent advances in orbital surgery for exophthalmos. Advances in plastic and reconstructive surgery. St. Lois: Mosby; 1993;103–125
  15. McCord CD. Current trends in orbital decompression. Ophthalmology. 1985;92:21–33
  16. Michel O, Oberlander N, Neugebauer P, Neugebauer A, Russmann W. Follow-up of transnasal orbital decompression in severe Graves' ophthalmopathy. Ophthalmology. 2001;108:400–404
  17. Mourits MP, Koornneef L, Wiersinga WM, Prummel MF, Berghout A, van der Gaag R. Orbital decompression for Graves' ophthalmopathy by inferomedial, by inferomedial plus lateral, and by coronal approach. Ophthalmology. 1990;97:636–641
  18. Olivari N. Transpalpebral decompression of endocrine ophthalmopathy (Graves' disease) by removal of intraorbital fat: experience with 147 operations over 5 years. Plast Reconstr Surg. 1991;87:627–641discussion 642–643
  19. Park JJ, Sullivan TJ, Mortimer RH, Wagenaar M, Perry-Keene DA. Assessing quality of life in Australian patients with Graves' ophthalmopathy. Br J Ophthalmol. 2004;88:75–78
  20. Pearl RM. Surgical management of volumetric changes in the bony orbit. Ann Plast Surg. 1987;19:349–358
  21. Perry JD, Kadakia A, Foster JA. Transcaruncular orbital decompression for dysthyroid optic neuropathy. Ophthal Plast Reconstr Surg. 2003;19:353–358
  22. Roberts CJ, Murphy MF, Adams GG, Lund VJ. Strabismus following endoscopic orbital decompression for thyroid eye disease. Strabismus. 2003;11:163–171
  23. Schaefer SD, Soliemanzadeh P, Della Rocca DA, Yoo GP, Maher EA, Milite JP, et al. Endoscopic and transconjunctival orbital decompression for thyroid-related orbital apex compression. Laryngoscope. 2003;113:508–513
  24. Siracuse-Lee DE, Kazim M. Orbital decompression: current concepts. Curr Opin Ophthalmol. 2002;13:310–316
  25. Soares-Welch CV, Fatourechi V, Bartley GB, Beatty CW, Gorman CA, Bahn RS, et al. Optic neuropathy of Graves disease: results of transantral orbital decompression and long-term follow-up in 215 patients. Am J Ophthalmol. 2003;136:433–441
  26. Stark B, Olivari N. Treatment of exophthalmos by orbital fat removal. Clin Plast Surg. 1993;20:285–289discussion 290
  27. Tallstedt L. Surgical treatment of thyroid eye disease. Thyroid. 1998;8:447–452
  28. Tallstedt L, Papatziamos G, Lundblad L, Anggard A. Results of transantral orbital decompression in patients with thyroid-associated ophthalmopathy. Acta Ophthalmol Scand. 2000;78:206–210
  29. Terwee CB, Gerding MN, Dekker FW, Prummel MF, van der Pol JP, Wiersinga WM. Test–retest reliability of the GO-QOL: a disease-specific quality of life questionnaire for patients with Graves' ophthalmopathy. J Clin Epidemiol. 1999;52:875–884
  30. Terwee CB, Dekker FW, Mourits MP, Gerding MN, Baldeschi L, Kalmann R, et al. Interpretation and validity of changes in scores on the Graves' ophthalmopathy quality of life questionnaire (GO-QOL) after different treatments. Clin Endocrinol (Oxf). 2001;54:391–398
  31. Warren JD, Spector JG, Burde R. Long-term follow-up and recent observations on 305 cases of orbital decompression for dysthyroid orbitopathy. Laryngoscope. 1989;99:35–40
  32. Weisman RA, Osguthorpe JD. Orbital decompression in Graves' disease. Arch Otolaryngol Head Neck Surg. 1994;120:831–834
  33. Werner SC. Modification of the classification of the eye changes of Graves' disease. Am J Ophthalmol. 1977;83:725–727
  34. Wilson S, Ellis E. Surgical approaches to the infraorbital rim and orbital floor: the case for the subtarsal approach. J Oral Maxillofac Surg. 2006;64:104–107

PII: S1010-5182(09)00060-2

doi: 10.1016/j.jcms.2009.04.001

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 3 , Pages 204-210 , April 2010

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