Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience-Reference-Cited by-同舟云学术

Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience

Published:2002-09 Issue:5 Volume:57 Page:217-222
ISSN:0041-8781
Container-title:Revista do Hospital das Clínicas
language:
Short-container-title:Rev. Hosp. Clin.

Author:

Ferreira Marcus Castro¹,Tuma Jr. Paulo¹,Costa Márcio Paulino¹,Bloise Walter¹,Alves Carlos Alberto Rodrigues¹

Affiliation:

1. University of São Paulo

Abstract

PURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Link

http://www.scielo.br/pdf/rhc/v57n5/13015.pdf

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