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Surgical treatment of proptosis bulbi by three-wall orbital decompression. | LitMetric

Surgical treatment of proptosis bulbi by three-wall orbital decompression.

J Oral Maxillofac Surg

Department of Oral and Maxillofacial Surgery, Medisch Centrum Leeuwarden, The Netherlands.

Published: February 1995

AI Article Synopsis

  • Three-wall orbital decompression using a coronal approach was tested in various patients with proptosis related to conditions like Grave's ophthalmopathy and Crouzon's syndrome.
  • The procedure resulted in an average proptosis reduction of 4.7 mm and allowed for effective access to orbital walls without leaving visible scars.
  • Additionally, diplopia improved in most cases, and there were no instances of visual acuity loss post-surgery.

Article Abstract

Purpose: Three-wall orbital decompression was tested using a coronal approach as a technique.

Patients And Methods: Three-wall orbital decompression by a coronal approach was performed in three patients with proptosis due to Grave's ophthalmopathy, in six patients with Grave's ophthalmopathy because their vision was threatened due to optic nerve compression, and in one patient with exorbitism due to Crouzon's syndrome for cosmetic rehabilitation.

Results: Proptosis reduction averaged 4.7 mm. The technique provides good access to the orbital walls, facilitating adequate proptosis reduction, and leaves no visible scar. Diplopia, present preoperatively in four patients, was improved in three patients and unchanged in one. There was no loss of visual acuity.

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Source
http://dx.doi.org/10.1016/0278-2391(95)90389-5DOI Listing

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