Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Endoscopic orbital decompression under local anesthesia

R Metson1, J W Shore, R E Gliklich

  • 1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tissue eosinophilia in chronic sinusitis: quantification techniques.

Archives of otolaryngology--head & neck surgery·2001
Same author

Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale.

The Laryngoscope·2001
Same author

The health impact of chronic recurrent rhinosinusitis in children.

Archives of otolaryngology--head & neck surgery·2000
Same author

Use of the radial forearm fasciocutaneous free flap and montgomery salivary bypass tube for pharyngoesophageal reconstruction.

Head & neck·2000
Same author

Delayed orbital infection after endoscopic orbital decompression for dysthyroid orbitopathy.

Ophthalmology·2000
Same author

Health status in allergic rhinitis.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2000
Same journal

Gender-Affirming Care in Otolaryngology: A State of the Art Review.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Caffeine Consumption and Rhinologic Symptom Severity.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Ethical Considerations in Using the Pernkopf Atlas in Otolaryngology Education Ethics in Practice: Point-Counterpoint.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Preoperative Neutrophil-to-Lymphocyte Ratio Predicts Recurrence in HPV-Associated Oropharyngeal Cancer After Transoral Robotic Surgery.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

PEAK-II Trach: A Multi-Institutional Quality Improvement/Simulation Study Assessing Pediatric Emergency Readiness.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Clinical Features, Treatment, and Outcomes for Oropharyngeal Adenoid Cystic Carcinoma: A Systematic Review.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
See all related articles

Endoscopic orbital decompression for Graves

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Endoscopic Surgery

Background:

  • Graves' disease often necessitates orbital decompression to alleviate proptosis and prevent vision loss.
  • Traditional orbital decompression typically requires general anesthesia, posing potential risks.

Purpose of the Study:

  • To evaluate the safety and efficacy of endoscopic orbital decompression using local anesthesia in awake patients.
  • To compare outcomes with traditional general anesthesia approaches.

Main Methods:

  • Twelve awake patients underwent endoscopic orbital decompression via an intranasal approach with local anesthesia.
  • Vision was monitored intraoperatively; simultaneous lateral decompressions were performed in 11 cases.

Main Results:

Related Experiment Videos

  • No intraoperative or postoperative complications were observed.
  • Visual acuity remained stable or improved in all patients.
  • An average proptosis reduction of 5.5 mm was achieved, exceeding the 4.8 mm reduction seen in general anesthesia cases.

Conclusions:

  • Endoscopic orbital decompression under local anesthesia is a safe and effective technique for Graves' disease.
  • This approach may offer enhanced safety by allowing direct visual monitoring during surgery, potentially reducing optic nerve injury risk.