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Published on: February 15, 2022
[Reoperation after orbital decompression for Graves' ophthalmopathy]
N Dumont1, P Bouletreau, L Guyot
1Service de chirurgie maxillo-faciale et plastique de la face, hôpital Nord, chemin des Bourrely, Marseille, France. nathalie.dumont08@gmail.com
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|April 3, 2012
Summary
Reoperation after orbital decompression for Graves's ophthalmopathy is uncommon but necessary in some cases. Patient counseling on potential risks and multidisciplinary management can improve outcomes.
Area of Science:
- Ophthalmology
- Maxillofacial Surgery
- Endocrinology
Background:
- Graves' ophthalmopathy often necessitates orbital decompression to address disfigurement and vision issues.
- Complications requiring reoperation after orbital decompression impact patient outcomes.
Purpose of the Study:
- To determine the incidence of early and late reoperations following bone and fat orbital decompression for Graves' ophthalmopathy.
Main Methods:
- A retrospective bicentric study analyzed 168 orbital decompressions in 90 patients (2006-2010).
- Surgical techniques included trans-palpebral resection, multi-wall decompression, and malar valgization for morphological and functional indications.
Main Results:
- Twelve reoperations were performed in 10 patients (7.1% of decompressions).
- Early revisions addressed hematoma, inadequate decompression, and sinusitis; late revisions targeted insufficient correction, proptosis relapse, or enophthalmos.
- Despite revisions, all patients achieved satisfactory results.
Conclusions:
- Reoperations are often unpredictable, emphasizing the need for thorough patient education on risks and benefits.
- A systematic multidisciplinary approach can help identify at-risk patients and standardize management to minimize complications.
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