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Endoscopic Orbital Decompression for Thyroid Eye Disease

  • Endoscopic Orbital Surgery (B Bleier, Section Editor)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Orbital decompression may be required for patients with thyroid eye disease (TED) who have not responded to medical therapy. The endoscopic transnasal approach to the medial and inferior orbital walls is an excellent surgical option for the vast majority of patients. This article will cover the latest developments in endoscopic management of thyroid eye disease while reviewing the pathophysiology of the disease, patient selection, proper surgical technique, postoperative outcomes, and complications.

Recent Findings

Endoscopic surgeons have modified the technique over the past several years in order to reduce the incidence of certain complications, in particular diplopia. The implementation of “balanced” decompression, along with preservation of orbital struts and/or periorbital slings, has improved postoperative outcomes.

Summary

Endoscopic orbital decompression remains a safe and effective surgical option for TED best applied in conjunction with inferior and lateral approaches. Working closely with the oculoplastics team to effect a balanced decompression most often yields the best outcomes.

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Authors and Affiliations

  1. Department of Otolaryngology, University of Colorado School of Medicine, Academic Office–1, Room 3001, 12631 E. 17th Ave., B-205, Aurora, CO, 80045, USA

    Conner J. Massey, Eric Hink & Todd T. Kingdom

  2. Department of Ophthalmology, University of Colorado School of Medicine, Aurora, CO, 80045, USA

    Eric Hink & Todd T. Kingdom

Authors
  1. Conner J. Massey
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  2. Eric Hink
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  3. Todd T. Kingdom
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Correspondence to Todd T. Kingdom.

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This article is part of the Topical Collection on Endoscopic Orbital Surgery

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Massey, C.J., Hink, E. & Kingdom, T.T. Endoscopic Orbital Decompression for Thyroid Eye Disease. Curr Otorhinolaryngol Rep 7, 147–152 (2019). https://doi.org/10.1007/s40136-019-00233-1

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  • DOI: https://doi.org/10.1007/s40136-019-00233-1

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