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Orbital decompression for thyroid eye disease: a comparison of external and endoscopic techniques

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund ,
Genevieve Larkin ,
Peter Fells  and
Gillian Adams
Valerie J. Lund*
Affiliation:
Department of Rhinology, The Royal National, Throat, Nose and Ear Hospital, London, UK
Genevieve Larkin
Affiliation:
Department of Rhinology, The Royal National, Moorfield's Eye Hospital, London, UK
Peter Fells
Affiliation:
Department of Rhinology, The Royal National, Moorfield's Eye Hospital, London, UK
Gillian Adams
Affiliation:
Department of Rhinology, The Royal National, Moorfield's Eye Hospital, London, UK
*
Address for correspondence: Professor Valerie J. Lund, The Royal National Throat, Nose and Ear Hospital, 330 Gray's Inn Road, London WC1X 8DA. Fax: 0171 8339480
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Abstract

The results of orbital decompression for thyroid eye disease are presented in a cohort of 33 patients. It was performed by an external Patterson approach in 21 individuals and in 13 by an endonasal endoscopic approach. The endoscopic approach was entirely comparable in respect of improvement in axial proptosis, giving a mean improvement of 4.4 mm as compared with a mean of 3.8 mm for the external approach, and produced a demonstrable improvement in visual acuity and perception of colour in three individuals, where this was compromised, and was associated with fewer complications.

Keywords

Thyroid diseasesOrbit, surgeryEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 11 , November 1997 , pp. 1051 - 1055
Copyright
Copyright © JLO (1984) Limited 1997

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