Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy

Stefano Sellari-Franceschini1, Luca Muscatello1, Veronica Seccia1, Riccardo Lenzi1, Amelia Santoro1, Marco Nardi2, Barbara Mazzi3, Aldo Pinchera3, Claudio Marcocci31Department of Neuroscience, 1st ENT division, 2Ophthalmology Division, 3Department of Endocrinology and Metabolism, Orthopaedics and Tr...

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Autores principales:	Stefano Sellari-Franceschini, Luca Muscatello, Veronica Seccia, Riccardo Lenzi, Amelia Santoro, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0df14c034bd1446ab8e57740668bd7ec
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spelling	oai:doaj.org-article:0df14c034bd1446ab8e57740668bd7ec2021-12-02T07:22:35ZReasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy1177-54671177-5483https://doaj.org/article/0df14c034bd1446ab8e57740668bd7ec2008-06-01T00:00:00Zhttp://www.dovepress.com/reasons-for-revision-surgery-after-orbital-decompression-for-gravesrsq-a1781https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Stefano Sellari-Franceschini1, Luca Muscatello1, Veronica Seccia1, Riccardo Lenzi1, Amelia Santoro1, Marco Nardi2, Barbara Mazzi3, Aldo Pinchera3, Claudio Marcocci31Department of Neuroscience, 1st ENT division, 2Ophthalmology Division, 3Department of Endocrinology and Metabolism, Orthopaedics and Traumatology, Occupational Medicine, University of Pisa, ItalyObjectives: An analysis of complications and causes of failure in orbital decompression necessitating a second operation.Methods: Between December 1992 and April 2007, 375 patients (719 orbits) were operated on using various techniques. Fourteen patients were initially operated on in our unit: 8 (group A1) were re-operated on after a short time due to complications connected with the decompression operation, 7 (group A2) were operated on after some time due to recurrence of the illness or unsatisfactory decompression (one patient is in both group A1 and A2). Five patients (group B) underwent a first operation elsewhere.Results: For group A1 the most serious complications were connected to the nasal approach. For group A2 the operations were performed either because of a neuropathy recurrence or for further proptosis reduction due to recurrence or patient dissatisfaction. Lack of preoperative data hinders conclusions about group B, apart from one patient where the operation had not resolved a serious optic neuropathy after decompression based on Olivari technique combined with three-wall operation according to Mourits and colleagues (1990).Conclusions: We can deduce from group A1 that extreme attention is necessary during endonasal access, from group A2 that balancing the eyes is advisable, sacrificing maximum proptosis reduction to gain greater patient satisfaction, and from group B that decompression of the orbital apex is fundamental in the case of neuropathy.Keywords: orbital decompression, Graves&rsquo; orbitopathy, revision surgery Stefano Sellari-FranceschiniLuca MuscatelloVeronica SecciaRiccardo LenziAmelia Santoroet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 2, Pp 283-290 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Stefano Sellari-Franceschini Luca Muscatello Veronica Seccia Riccardo Lenzi Amelia Santoro et al Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
description	Stefano Sellari-Franceschini1, Luca Muscatello1, Veronica Seccia1, Riccardo Lenzi1, Amelia Santoro1, Marco Nardi2, Barbara Mazzi3, Aldo Pinchera3, Claudio Marcocci31Department of Neuroscience, 1st ENT division, 2Ophthalmology Division, 3Department of Endocrinology and Metabolism, Orthopaedics and Traumatology, Occupational Medicine, University of Pisa, ItalyObjectives: An analysis of complications and causes of failure in orbital decompression necessitating a second operation.Methods: Between December 1992 and April 2007, 375 patients (719 orbits) were operated on using various techniques. Fourteen patients were initially operated on in our unit: 8 (group A1) were re-operated on after a short time due to complications connected with the decompression operation, 7 (group A2) were operated on after some time due to recurrence of the illness or unsatisfactory decompression (one patient is in both group A1 and A2). Five patients (group B) underwent a first operation elsewhere.Results: For group A1 the most serious complications were connected to the nasal approach. For group A2 the operations were performed either because of a neuropathy recurrence or for further proptosis reduction due to recurrence or patient dissatisfaction. Lack of preoperative data hinders conclusions about group B, apart from one patient where the operation had not resolved a serious optic neuropathy after decompression based on Olivari technique combined with three-wall operation according to Mourits and colleagues (1990).Conclusions: We can deduce from group A1 that extreme attention is necessary during endonasal access, from group A2 that balancing the eyes is advisable, sacrificing maximum proptosis reduction to gain greater patient satisfaction, and from group B that decompression of the orbital apex is fundamental in the case of neuropathy.Keywords: orbital decompression, Graves&rsquo; orbitopathy, revision surgery
format	article
author	Stefano Sellari-Franceschini Luca Muscatello Veronica Seccia Riccardo Lenzi Amelia Santoro et al
author_facet	Stefano Sellari-Franceschini Luca Muscatello Veronica Seccia Riccardo Lenzi Amelia Santoro et al
author_sort	Stefano Sellari-Franceschini
title	Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
title_short	Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
title_full	Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
title_fullStr	Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
title_full_unstemmed	Reasons for revision surgery after orbital decompression for Graves&rsquo; orbitopathy
title_sort	reasons for revision surgery after orbital decompression for graves&rsquo; orbitopathy
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/0df14c034bd1446ab8e57740668bd7ec
work_keys_str_mv	AT stefanosellarifranceschini reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy AT lucamuscatello reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy AT veronicaseccia reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy AT riccardolenzi reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy AT ameliasantoro reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy AT etal reasonsforrevisionsurgeryafterorbitaldecompressionforgravesamprsquoorbitopathy
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Reasons for revision surgery after orbital decompression for Graves&amp;rsquo; orbitopathy

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