TRANSANTRAL ORBITAL DECOMPRESSION FOR GRAVES-DISEASE

被引：13

作者：

TJON, F

SANG, M

NEGT, P

WIJNGAARDE, R

POUBLON, R

VANDERSCHANS, E

KRENNING, E

机构：

[1] UNIV HOSP ROTTERDAM,DEPT OTOLARYNGOL,DR MOLEWATERPLEIN 40,3015 GD ROTTERDAM,NETHERLANDS

[2] UNIV HOSP ROTTERDAM,DEPT OPHTHALMOL,ROTTERDAM,NETHERLANDS

[3] UNIV HOSP ROTTERDAM,DEPT NUCL MED & INTERNAL MED,ROTTERDAM,NETHERLANDS

来源：

CLINICAL OTOLARYNGOLOGY | 1994年 / 19卷 / 04期

关键词：

GRAVES DISEASE; TRANSANTRAL ORBITAL DECOMPRESSION; DYSTHYROID OPHTHALMOPATHY;

D O I：

10.1111/j.1365-2273.1994.tb01233.x

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Seventy-five patients with Graves' disease have been treated by transantral orbital decompression. In the first post-operative month the average reduction in proptosis was 3 mm. In the years following the operation this reduction increased to an average of 4.5 mm. In 32% of the patients without diplopia before surgery, the diplopia that developed afterwards did not disappear, 83% of them were successfully treated by extraocular muscle surgery. Seventy per cent of the patients experienced immediate post-operative improvement of visual acuity. Only three patients remained with anaesthesia of the infra-orbital nerve. A total of 65% of the patients found the operation procedure beneficial while 76% were satisfied with the ophthalmological result. We conclude, that transantral orbital decompression, though with moderate morbidity, gives good results in patients with the orbital complications of Graves' disease.

引用

页码：290 / 294

页数：5