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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Endoscopic orbital decompression for proptosis in non-thyroid eye disease
Valerie Juniat1, J Anthony McGilligan2, David Curragh3
1Department of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia. vjuniat@doctors.org.uk.
Oral and Maxillofacial Surgery
|December 20, 2019
Summary
Endoscopic orbital decompression effectively reduced proptosis in patients with non-thyroid eye disease. This safe procedure maintained visual acuity and ocular motility, offering a viable treatment for various orbital pathologies.
Area of Science:
- Ophthalmology
- Neurosurgery
- Oculoplastics
Background:
- Orbital decompression is a recognized surgical approach for diverse orbital conditions.
- Endonasal endoscopic decompression is increasingly utilized for orbital pathologies.
Purpose of the Study:
- To evaluate the outcomes of endonasal endoscopic orbital decompression for proptosis caused by non-thyroid eye disease.
- To assess the safety and efficacy of this minimally invasive technique.
Main Methods:
- Retrospective case series of seven patients undergoing endoscopic orbital decompression for non-thyroid eye disease.
- Procedures performed by oculoplastic surgeons between January 2011 and July 2018.
- Data collected included diagnoses, surgical details, and pre- and postoperative clinical findings.
Main Results:
- Seven patients with varied pathologies (meningioma, myositis, myopia, palsy, keratoprosthesis, Crouzon syndrome) underwent decompression.
- Average proptosis reduction of 3.5 mm; visual acuity and ocular motility remained stable in all patients.
- No intraoperative or postoperative complications, including no new diplopia.
Conclusions:
- Endoscopic orbital decompression is a safe and effective option for managing proptosis in selected non-thyroid eye disease cases.
- Suitable for patients with large globes, facial dysplasia, or medial/infero-medial orbital lesions.
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