Vargas AAM, Covarrubias AC

Language: Spanish
References: 14
Page: 60-69
PDF size: 473.69 Kb.

ABSTRACT

Background
Graves’ disease is characterized by a classic triad: hyperthiroidism, ophthalmopaty and dermatopaty. Several symptoms of Graves’ ophthalmopaty may be explained mechanically by the increased extraocular muscles and adipose tissue.
Objective
To assess efficacy and safety or endoscopic transnasal orbitary decompression of Graves’ disease.
Material and methods
A retrospective study was done reviewing 79 orbitary decompressions for 10 years at otorhynolaryngology department, Hospital de Especialidades, Centro Medico Nacional Siglo XXI. Otorhynolaryngology and Ophthalmology services made integral assessment and measurement of decompression.
Results
Results were analyzed based on Hertel’s exophthalmometry; a mean reduction of 4.5 mm of exophthalmos was obtained.
Conclusions
Endoscopic transnasal orbitary decompression is just a step for the surgical treatment of Graves’ ophthalmopaty, because in case of persistence or postoperative appearance of diplopia, surgery in extraocular muscles is performed.

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