Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 57(5): 217-222, Sept.-Oct. 2002. ilus
Artigo
em Inglês
| LILACS
| ID: lil-325553
Biblioteca responsável:
BR1.1
RESUMO
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 percent).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 cosmeticoutcome:
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Órbita
/
Tecido Adiposo
/
Doença de Graves
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Assunto da revista:
Medicina
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
University of Säo Paulo/BR