CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S360
DOI: 10.1055/s-0039-1686708
Poster
Rhinology

Endoscopic orbital decompression for Graves's diseases: Retrospective analysis on 21 patients in interdisciplinary treatment

B Al Kadah
1   Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Homburg/S.
,
H Weber
1   Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Homburg/S.
,
M Linxweiler
1   Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Homburg/S.
,
G Papaspyrou
1   Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Homburg/S.
,
B Käsmann-Kellner
2   Klinik für Augenheilkunde, Homburg/S.
,
B Seitz
2   Klinik für Augenheilkunde, Homburg/S.
,
B Schick
3   Klinik und Poliklinik für Hals-, Nasen- und Ohrenh, Homburg/S.
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    Introduction:

    Graves' disease is a multiorgan autoimmune disease of complex pathophysiology predominantly affecting the thyroid gland and orbit. Graves'orbitopathy should be treated interdisciplinary.

    Aim of this study is to present the experience of an interdisciplinary treatment as well as the endoscopic orbital decompression of patients with Graves'orbitopathy at the university clinic of Homburg.

    Materials and Methods:

    Twenty one patients underwent endoscopic orbital decompression due to Graves disease between 2004 and 2014 in an interdisciplinary approach between the ENT and the Ophthalmology Department in the University Clinic of Homburg in Germany.

    Results:

    There were 4 men (13.3%) and 17 women (86.7%). The mean patient age was 55.5 years (range 33 – 74). Five patients no visual impairment was observed after the operation, Sixteen Patients had a visual improvement of 0.10 – 0.60 points after the operation. The Hertel measurement has shown improvement in all patients, except in three patients in whom the postoperative findings were unchanged. In five patients the postoperative eye pressure measurement was elevated. All parameters mentioned above were not statistically significant compared to pre- and postoperative treatment.

    Conclusion:

    Orbital decompression in cases of Graves' disease is an effective procedure to treat patients with endocrine orbitopathy leading to reduce the patient's complaints and to improve visual acuity with low rate of complications. However treating Graves'orbitopathy is still interdisciplinary approach between Ophthalmologist and ENT doctors. A rapid surgical treatment after failure of high-dose corticosteroid therapy is recommended. The effectiveness of further decompression procedure should be checked.


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    Priv.-Doz. Dr. med. Basel Al Kadah
    Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde,
    Kirrberger Straße, Gebäude 6, 66424
    Homburg/S.

    Publication History

    Publication Date:
    23 April 2019 (online)

    © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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