Effect of the lateral wall valgisation in the treatment of patients with endocrine orbitopathy.
Decompressions surgery
Endocrine orbitopathy
Fully-digital analysis
Lateral valgisation
Navigated surgery
Journal
The British journal of oral & maxillofacial surgery
ISSN: 1532-1940
Titre abrégé: Br J Oral Maxillofac Surg
Pays: Scotland
ID NLM: 8405235
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
received:
06
09
2022
revised:
05
11
2022
accepted:
15
11
2022
pubmed:
20
1
2023
medline:
8
3
2023
entrez:
19
1
2023
Statut:
ppublish
Résumé
Orbital decompression is an established procedure used to correct exophthalmos that results from excess orbital soft tissue. This study aimed to explore a new minimally-invasive technique that features three-dimensional planning and patient-specific implants for lateral valgisation (LAVA) of the orbital wall. We analysed the outcomes of this procedure in nine endocrine orbitopathy (EO) patients (32-65 years of age with a mean clinical activity score of 4.3) who underwent this procedure between 2021 and 2022, including seven patients diagnosed with dysthyroid optic neuropathy. The impact of LAVA and wall resection on orbital areas, volumes, Hertel values, visual acuity, and new-onset diplopia was determined. Among our results, we found that LAVA and resection of 18 orbital walls resulted in significant enlargement of the orbital volume from a preoperative mean of 30.8 ± 3.5 cm
Identifiants
pubmed: 36658060
pii: S0266-4356(22)00611-8
doi: 10.1016/j.bjoms.2022.11.284
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
152-157Informations de copyright
Copyright © 2022. Published by Elsevier Ltd.