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Technique for modified transantral orbital decompression for improved cosmesis in stable thyroid eye disease
J E Lu1, M Bergman2, M A Burnstine2
1Department of Ophthalmology, Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
International Journal of Oral and Maxillofacial Surgery
|March 4, 2021
Summary
This study presents a modified transantral decompression technique for thyroid eye disease (TED) exophthalmos. The approach allows for graded orbital decompression, enhancing functional and aesthetic outcomes for patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Endocrinology
Background:
- Thyroid eye disease (TED) often causes exophthalmos, impacting function and aesthetics.
- Surgical intervention is frequently required for rehabilitation in stable TED.
- The transantral approach is a known technique for orbital decompression.
Purpose of the Study:
- To describe modifications to the classic transantral decompression technique.
- To demonstrate how these modifications enable graded orbital decompression.
- To evaluate the functional and aesthetic improvements in TED patients.
Main Methods:
- Retrospective chart review of stable TED patients undergoing modified transantral decompression.
- Illustration of surgical technique modifications.
- Case study descriptions.
Main Results:
- The modified transantral technique allows for controlled, graded orbital decompression.
- Improved cosmetic outcomes were observed in treated patients.
- The procedure offers a valuable addition to surgical options for TED.
Conclusions:
- Modified transantral orbital decompression is an effective surgical option for TED.
- This technique provides graded decompression, enhancing patient cosmesis.
- It expands the range of treatments available for stable TED patients.
