Endoscopic orbital decompression in Graves ophthalmopathy - Case report

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Abstract

Graves ophthalmopathy, an autoimmune disease, associated with hypermetabolism, enlargement of the thyroid gland and exophthalmia are the most frequent expressions of Graves’ disease, which often require surgical treatment. We present the case of a 41-year-old male with severe Graves ophthalmopathy for which we performed an endoscopic orbital decompression with good surgical outcome, the patient being discharged after 48 hours.

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  • 1. Flint PW Haughey BH Lund VJ Niparko JK Robbins KT Thomas JR et al. Cummings Otolaryngology: Head and Neck Surgery. 6th Edition. Saunders; 2014 p.1969-74.

  • 2. Abraham-Nordling M Bystrom K Torring O Lantz M Berg G Calissendorff J et al. Incidence of hyperthyroidism in Sweden. Eur J Endocrinol. 2011;165(6):899–905. DOI: 10.1530/EJE-11-0548. Epub 2011 Sep 9.

  • 3. Braverman L Utiger R. Werner and Ingbar’s the thyroid: a fundamental and clinical text 8th edition. Philadelphia: Lippincott Williams & Wilkins; 2000 p.531-48.

  • 4. Dollinger J. Die Druckenlastung der Augenhöhle durch Entfernung der äusseren Orbitalwand bei hochgradigem Exophthalmus und konsekutive Horn hauterkrankung. Dtsch Med Wochenschr. 1911;37:1888–90.

  • 5. Sewall EC. Operative control of progressive exophthalmos. Arch Otolaryngol. 1936; 24(5):621–4. DOI: 10.1001/archotol.1936.00640050634010.

  • 6. Hirsch O. Surgical decompression of malignant exophthalmos. Arch Otolaryngol. 1950; 51 (3): 325–34. DOI: 10.1001/archotol.1950.00700020347004.

  • 7. Bartalena L Baldeschi L Dickinson A Eckstein A Kendall-Taylor P Marcocci C et al. Consensus statement of the European Group on Graves’ orbitopathy (EUGOGO) on management of GO. Eur J Endocrinol. 2008;158(3):273–85. DOI: 10.1530/EJE-07-0666.

  • 8. Jefferis JM Jones RK Currie ZI Tan JH Salvi SM. Orbital decompression for thyroid eye disease: methods outcomes and complications. Eye (Lond). 2018;32(3):626-36. DOI: 10.1038/eye.2017.260. Epub 2017 Dec 15.

  • 9. Seibel I Hofmann VM Sonmez H Schonfeld S Jumah MD Lenarz M et al. Medial and mediolateral orbital decompression in intractable Graves’ Orbitopathy. Auris Nasus Larynx. 2017;44(4):428-34. DOI: 10.1016/j.anl.2016.08.007. Epub 2016 Sep 5.

  • 10. Mueller SK Miyake MM Lefebvre DR Freitag SK Bleier BS. Longterm impact of endoscopic orbital decompression on sinonasal-specific quality of life. Laryngoscope. 2018;128(4):785-8. DOI: 10.1002/lary.26812. Epub 2017 Sep 25.

  • 11. Imburgia A Elia G Franco F Perri P Franco E Galie M et al. Treatment of exophthalmos and strabismus surgery in thyroid-associated orbitopathy. Int J Oral Maxillofac Surg. 2016;45(6):743-9. DOI: 10.1016/j.ijom.2015.12.002. Epub 2016 Jan 6.

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