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Updated: Apr 22, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Analysis of endoscopic orbital decompression with and without navigation for thyroid eye disease
Daire J Hurley1, Amy O'Regan1, Liam O'Dwyer2
1Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
Endoscopic orbital decompression effectively treats Graves' ophthalmopathy. Surgical navigation (IGS) in this procedure led to significantly better visual outcomes compared to non-navigated surgery.
Area of Science:
- Ophthalmology
- Neurosurgery
- Endoscopic Surgery
Background:
- Graves' ophthalmopathy can cause vision-threatening complications.
- Endoscopic orbital decompression is a minimally invasive surgical option.
Purpose of the Study:
- To evaluate outcomes of endoscopic orbital decompression for Graves' ophthalmopathy.
- To compare outcomes with and without surgical navigation assistance (StealthStation™ S8).
Main Methods:
- Retrospective review of 67 endoscopic orbital decompressions (2004-2024).
- Assessment of visual acuity, exophthalmometry, intraocular pressure, and OCT findings.
- Surgeon survey on image-guided navigation (IGS) usability.
Main Results:
- Significant improvements in visual acuity, proptosis, intraocular pressure, and color vision post-surgery (p<0.05).
- Better visual acuity at 1 and 3 months in the IGS cohort (p<0.05).
- Surgeons reported IGS improved ease and safety of orbital surgery.
Conclusions:
- Endoscopic orbital decompression is effective and safe for Graves' ophthalmopathy.
- Surgical navigation trends towards improved visual outcomes in this procedure.
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