Abstract
Surgical decompression in malignant endocrine exophthalmos (Graves’ disease) is indicated when the patient’s health does not improve through regulation of thyroid metabolism and/or systemic corticoid therapy. A compression optic neuropathy, motility disorder, lagophthalmos, and cosmetic impairment found in these cases support the indication for a surgical approach. The rhinosurgical solution requires preparing the paranasal system either partially [3, 8, 9] or completely [1, 6, 7] as needed for the uptake of the orbital fatty tissue. Besides technical recommendations for the orbital decompression procedure, developed by Richter and Buschmann [1, 2, 6], the results of 83 decompressions are presented; these were performed from 1984 to 1988 in close cooperation with the Ophthalmic Department of the University of Würzburg.
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References
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© 1991 Springer-Verlag Berlin Heidelberg
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Geyer, G., Brunner, F.X., Buschmann, W., Müller, J. (1991). Surgical Technique and Results of Orbital Decompression in Graves’ Disease. In: Samii, M. (eds) Surgery of the Sellar Region and Paranasal Sinuses. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76450-9_25
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DOI: https://doi.org/10.1007/978-3-642-76450-9_25
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-76452-3
Online ISBN: 978-3-642-76450-9
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