Effect of orbital wall resection areas in the treatment of patients with endocrine orbitopathy

In patients treated by orbital wall decompression for endocrine orbitopathy (EO) there is limited evidence on the effect of orbital wall resections. Thus, the aim of this study was to evaluate the effect of one, two, and three-wall resections on orbital parameters to determine if any such correlatio...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2022-06, Vol.60 (5), p.610-616
Main Authors: Krause, Matthias, Kamal, Mohammad, Kruber, Daniel, Sterker, Ina, Sander, Anna K., Zimmerer, Rüdiger, Lethaus, Bernd, Bartella, Alexander K.
Format: Article
Language:English
Subjects:
Decompression surgery
Endocrine orbitopathy
Fully digital analysis
Navigated surgery
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Summary:In patients treated by orbital wall decompression for endocrine orbitopathy (EO) there is limited evidence on the effect of orbital wall resections. Thus, the aim of this study was to evaluate the effect of one, two, and three-wall resections on orbital parameters to determine if any such correlations exist. Preoperative and postoperative data from all patients at a tertiary care centre who underwent decompression surgery from 2010 - 2020 were digitally analysed. The effect of the number and area of resected walls on orbital area, orbital volume, and Hertel value, and the effect of lateral rim advancement (LARA) were determined. A total of 131 orbital areas showed an increase from a mean (SD) preoperative area of 42.0 (4.6) cm2 to 47.3 (6.1) cm2 postoperatively (p
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2021.10.021