Δημοσίευση

Endoscopic transnasal orbital decompression for Graves.

ΤίτλοςEndoscopic transnasal orbital decompression for Graves.
Publication TypeJournal Article
Year of Publication2020
AuthorsTsetsos, N., Daskalakis D., Tzakri D., Blioskas S., Goudakos J., & Markou K.
JournalRhinology
Volume58
Issue1
Pagination2-9
Date Published2020 Feb 01
ISSN0300-0729
Λέξεις κλειδιάDecompression, Surgical, Endoscopy, Graves Ophthalmopathy, Humans, Orbit, Treatment Outcome
Abstract

BACKGROUND: The aim of this study was to assess all available data regarding the efficacy of endoscopic transnasal orbital decompression for Graves' ophthalmopathy.
METHODOLOGY: MEDLINE, ScienceDirect and the Cochrane Library databases as well as other sources were searched by two independent reviewers followed by extensive hand-searching for the identification of relevant studies. The primary outcome was the reduction in orbital proptosis. Secondary outcomes were the improvement in visual acuity, post-operative diplopia, and complications RESULTS: Twelve prospective and retrospective case series met the inclusion criteria. All of them demonstrated an improvement in postoperative proptosis that ranged from 2.07 mm to 8.2 mm (weighted mean improvement 5.05 mm). Improvement in visual acuity was reported in all but one study. Studies presented a wide range of results regarding pre-existing and new-onset diplopia. Apart from diplopia, a wide variety of minor and major complications were noted in ten studies, the most serious of which being 3 cases of Cerebrospinal fluid (CSF) leak presented in 2 studies.
CONCLUSIONS: The present systematic review shows that endoscopic transnasal decompression safely addresses symptoms of Graves’ ophthalmopathy. However, high-quality, large-sample, controlled studies need to be performed in the future.

DOI10.4193/Rhin19.282
Alternate JournalRhinology
PubMed ID31884513

Επικοινωνία

Τμήμα Ιατρικής, Πανεπιστημιούπολη ΑΠΘ, T.K. 54124, Θεσσαλονίκη
 

Συνδεθείτε

Το τμήμα Ιατρικής στα κοινωνικά δίκτυα.
Ακολουθήστε μας ή συνδεθείτε μαζί μας.