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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Course of proptosis in patients with Graves' disease after endoscopic orbital decompression.
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Course of proptosis in patients with Graves' disease after endoscopic orbital decompression.

机译：内窥镜眼眶减压术后Graves病患者的眼球突出过程。

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AIM: To evaluate the results of follow-up and postoperative course of proptosis in patients with Graves' disease who underwent combined transconjunctival and transnasal endoscopic orbital decompression. METHODS: Charts of patients with Graves' disease who underwent orbital decompression using combined transconjunctival and transnasal endoscopic technique were reviewed. The surgical technique involved preservation of the strut of bone between the lamina papyracea of the ethmoid and floor of the orbit of the maxilla. Data pertaining to patient demographics, previous treatments for orbital manifestations of Graves' disease, and preoperative and postoperative otolaryngologic and ophthalmologic examination findings were obtained. Postoperative course of reduction in proptosis was evaluated based on Hertel exophthalmometry measurements obtained in four intervals: 1) 0 to 1 month, 2) 1 month to 3 months, 3) 3 to 6 months, 4) 6 to 12 months. RESULTS: Twenty-eight orbital decompressions were performed on 15 patients. All patients were unresponsive to corticosteroids and orbital irradiation. Ten orbits exhibited preoperative and postoperative visual acuity of 20/20. Vision improved in nine orbits and did not change in six orbits. Proptosis was reduced in 25 orbits. Postoperative course of reduction in proptosis varied within year 1, with the smallest proptosis measurements documented between 6 and 12 months. CONCLUSIONS: Combined transconjunctival and transnasal endoscopic orbital decompression with preservation of the strut resulted in regression of proptosis, marked reduction in postoperative diplopia development, and improvement of visual acuity in patients with Graves' disease. Course of reduction in proptosis varied within postoperative 1 year, with the biggest reduction occurring between 6 and 12 months.
机译：目的：评估经结膜和经鼻内镜下眼眶减压联合治疗的Graves病患者的眼球突出症的随访和术后过程。方法：回顾了经结膜和鼻腔内窥镜技术联合进行眼眶减压的Graves病患者的病历。手术技术涉及筛骨筛板和上颌眶底之间的骨撑杆的保护。获得了有关患者人口统计学，Graves病眼眶表现的先前治疗以及术前和术后耳鼻喉科和眼科检查结果的数据。根据四个时间间隔获得的Hertel检眼镜法评估术后眼球减少的过程：1）0至1个月，2）1个月至3个月，3）3至6个月，4）6至12个月。结果：15例患者进行了28次眼眶减压。所有患者对皮质类固醇和眼眶照射均无反应。十个轨道的术前和术后视力为20/20。视力在9个轨道上有所改善，但在6个轨道上没有变化。眼球萎缩症减少了25个轨道。术后1年内眼球萎缩的过程有所不同，最小的眼球萎缩测量记录在6至12个月之间。结论：经结膜和经鼻内镜下减压联合保留支杆可导致眼球萎缩，术后复视发展显着减少以及Graves病患者的视敏度提高。术后1年内眼球萎缩的过程有所不同，最大的减少发生在6至12个月之间。

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