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1000 Titel
  • Balancing orbital volume reduction and redistribution for a tailored surgical treatment in Graves’ ophthalmopathy
1000 Autor/in
  1. Costan, Victor Vlad |
  2. Ciocan-Pendefunda, Constantin-Catalin |
  3. Ciofu, Mihai Liviu |
  4. Boisteanu, Otilia |
  5. Timofte, Daniel Vasile |
  6. Gheorghe, Liliana |
  7. Bogdanici, Camelia |
  8. Preda, Cristina |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-06-25
1000 Erschienen in
1000 Quellenangabe
  • 258(10):2313-2320
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00417-020-04807-4 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550379/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Aim!#!The purpose of this study is to share our experience on the use of different orbital decompression techniques, as well as the principles followed for deciding the most case-appropriate procedure that ensured the most favorable outcomes.!##!Methods!#!We reviewed the Graves' ophthalmopathy cases operated over the course of 14 years, regarding the presenting signs, the imaging evaluation, the degree of exophthalmos, the type of surgical orbital decompression performed, and the postoperative outcomes.!##!Results!#!All 42 patients identified presented with proptosis, with 92.8% cases of bilateral proptosis. The main addressing concern was functional in 54.8% cases and aesthetic in 45.2% patients. CT was used for the preoperative evaluation in all cases. In total, 81 orbits were operated. The orbital decompression surgery involved only the orbital fat in 7.4% of orbits and associated fat and bone decompression in the other 92.6% of orbits. The postoperative results were favorable in all cases regarding both appearance and function, with minimal postoperative complications.!##!Conclusion!#!The adequate selection of the most suitable procedure based on the characteristics of each case is the prerequisite for a successful surgery. We found that the association of fat and bone decompression of various extents is most permissive in tailoring the degree of decompression to the existing requirements.
1000 Sacherschließung
lokal Decompression
lokal Oculoplastics and Orbit
lokal Graves Ophthalmopathy/diagnosis [MeSH]
lokal Humans [MeSH]
lokal Orbit/surgery [MeSH]
lokal Treatment Outcome [MeSH]
lokal Diplopia
lokal Retrospective Studies [MeSH]
lokal Exophthalmos
lokal Orbit
lokal Graves’ ophthalmopathy
lokal Graves Ophthalmopathy/surgery [MeSH]
lokal Exophthalmos/diagnosis [MeSH]
lokal Orbit/diagnostic imaging [MeSH]
lokal Decompression, Surgical [MeSH]
lokal Proptosis
lokal Exophthalmos/surgery [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/Q29zdGFuLCBWaWN0b3IgVmxhZA==|https://orcid.org/0000-0003-0489-7137|https://frl.publisso.de/adhoc/uri/Q2lvZnUsIE1paGFpIExpdml1|https://frl.publisso.de/adhoc/uri/Qm9pc3RlYW51LCBPdGlsaWE=|https://frl.publisso.de/adhoc/uri/VGltb2Z0ZSwgRGFuaWVsIFZhc2lsZQ==|https://frl.publisso.de/adhoc/uri/R2hlb3JnaGUsIExpbGlhbmE=|https://frl.publisso.de/adhoc/uri/Qm9nZGFuaWNpLCBDYW1lbGlh|https://frl.publisso.de/adhoc/uri/UHJlZGEsIENyaXN0aW5h
1000 Hinweis
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1000 Erstellt am 2023-11-17T10:26:24.036+0100
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