Temporal Fossa Orbital Decompression for Treatment of Disfiguring Thyroid-Related Orbitopathy
Received 7 June 2007; received in revised form 25 February 2008; accepted 26 February 2008. published online 16 May 2008.
Objective
To describe a technique for treating disfiguring thyroid-related orbitopathy by bony decompression into the temporal fossa and to analyze results.
Design
Retrospective, noncomparative case series with description of a surgical technique.
Participants
Thirty-three consecutive patients with disfiguring thyroid-related orbitopathy undergoing decompression into the temporal fossa with the described technique.
Intervention
Reduction in exophthalmos by removal of the lateral orbital wall and the greater sphenoid wing using an eyelid crease approach.
Main Outcome Measures
Amount of reduction in exophthalmos after surgery and incidence of induced postoperative diplopia.
Results
The average reduction in exophthalmos was 4.51 mm (range, 3–6 mm; standard deviation, ±0.95 mm). New-onset postoperative diplopia was observed in 1 patient.
Conclusions
Bony decompression of the orbit into the temporal fossa via an eyelid crease approach is an effective treatment for disfigurement in patients with thyroid-related orbitopathy and no preoperative diplopia.
Financial Disclosure(s)
The authors have no proprietary or commercial interest in any materials discussed in this article.
Available online: May 16, 2008.
1Doheny Eye Institute and the Department of Ophthalmology, Ophthalmic Plastic, Orbital & Reconstructive Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California
2Departments of Neurosurgery and Ophthalmology, Universidad de Costa Rica, San Jose, Costa Rica
Correspondence: Eli L. Chang, MD, Department of Ophthalmology, Ophthalmic Plastic, Orbital & Reconstructive Surgery, Doheny Eye Institute, 1450 San Pablo Street, DEI4705, Los Angeles, CA 90033
Manuscript no. 2007-760.
Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article.
ABSTRACT