David S Curragh1,2, Dinesh Selva3,4. 1. Department of Ophthalmology & Visual Sciences, University of Adelaide, North Terrace, SA, 5000, Australia. davidcurragh@hotmail.com. 2. South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Port Road, SA, 5000, Australia. davidcurragh@hotmail.com. 3. Department of Ophthalmology & Visual Sciences, University of Adelaide, North Terrace, SA, 5000, Australia. 4. South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Port Road, SA, 5000, Australia.
Abstract
BACKGROUNDS/ OBJECTIVES: Intraoperative handling and manipulation of orbital fat remains a challenge to orbital surgeons. We present a case series of endoscopic orbital fat decompression with medial orbital wall decompression for proptosis management in Grave's orbitopathy, describing a technique for fat excision using a laryngeal skimmer blade, reporting clinical and surgical outcomes, and complications. SUBJECTS/ METHODS: All patients who underwent endoscopic orbital fat decompression, with medial orbital wall decompression, for proptosis management in Grave's orbitopathy between 2011 and 2018, under the care of a single surgeon, were included in this retrospective interventional case series. RESULTS: Nineteen patients were included in this study. Using a laryngeal skimmer blade, orbital fat was excised endoscopically at the time of medial orbital wall decompression. The mean volume of orbital fat excised was 1.45 ± 0.63 ml and the mean reduction in proptosis was 4.5 ± 1.02 mm. There were no intraoperative complications. CONCLUSIONS: In this study, we describe our experience of using a laryngeal skimmer blade as a method of excising orbital fat for orbital decompression in patients with proptosis secondary to Grave's orbitopathy.
BACKGROUNDS/ OBJECTIVES: Intraoperative handling and manipulation of orbital fat remains a challenge to orbital surgeons. We present a case series of endoscopic orbital fat decompression with medial orbital wall decompression for proptosis management in Grave's orbitopathy, describing a technique for fat excision using a laryngeal skimmer blade, reporting clinical and surgical outcomes, and complications. SUBJECTS/ METHODS: All patients who underwent endoscopic orbital fat decompression, with medial orbital wall decompression, for proptosis management in Grave's orbitopathy between 2011 and 2018, under the care of a single surgeon, were included in this retrospective interventional case series. RESULTS: Nineteen patients were included in this study. Using a laryngeal skimmer blade, orbital fat was excised endoscopically at the time of medial orbital wall decompression. The mean volume of orbital fat excised was 1.45 ± 0.63 ml and the mean reduction in proptosis was 4.5 ± 1.02 mm. There were no intraoperative complications. CONCLUSIONS: In this study, we describe our experience of using a laryngeal skimmer blade as a method of excising orbital fat for orbital decompression in patients with proptosis secondary to Grave's orbitopathy.
Authors: Benjamin S Bleier; Paolo Castelnuovo; Paolo Battaglia; Mario Turri-Zanoni; Iacopo Dallan; Ralph Metson; Ahmad R Sedaghat; S Tonya Stefko; Paul A Gardner; Carl H Snyderman; Joao Flavio Nogueira; Vijay R Ramakrishnan; Luca Muscatello; Riccardo Lenzi; Suzanne Freitag Journal: Int Forum Allergy Rhinol Date: 2015-12-01 Impact factor: 3.858