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Endoscopic orbital decompression for dyscosmetic thyroid eye disease

Published online by Cambridge University Press:  11 July 2007

R Malik ,
G Cormack ,
C MacEwen  and
P White
R Malik
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
G Cormack
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
C MacEwen
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
P White*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
*
Address for correspondence: Mr P S White, Honorary Senior Lecturer in Rhinology, Department of Otolaryngology, Ninewells Hospital & Medical School, Dundee DD1 9SY, Scotland, UK. Fax: +44 1382 632 816 E-mail: paul.s.white@tuht.scot.nhs.uk
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Abstract

Aim:

To document the results of endoscopic orbital decompression performed in a group of patients with thyroid eye disease in order to improve cosmesis.

Methods:

A retrospective case review was performed of all patients who had undergone endoscopic orbital decompression for cosmesis in our departments during the period January 1996 to September 2002. A postal questionnaire was sent to all patients who had undergone the operation, in order to assess patient satisfaction.

Results:

Twenty orbits of 15 patients underwent endoscopic decompression. For all orbits, the reduction in proptosis was 3.7±2.2 mm (mean±standard deviation; t = 6.5, p = 0.001). For 16 of the endoscopic decompressions (89 per cent), patients reported that they were satisfied with the appearance of their eye post-operatively, and all patients reported a reduction in eye prominence post-operatively.

Conclusion:

Endoscopic decompression is an effective procedure for improving cosmesis in patients with inactive thyroid eye disease.

Keywords

EndoscopesExophthalmosOrbital DecompressionProptosisCosmetic
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 6 , June 2008 , pp. 593 - 597
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented as a poster at The Royal College of Ophthalmologists Annual Congress, 17–22 May, 2003, Birmingham, UK.

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