TRANSETHMOIDAL ORBITAL DECOMPRESSION ORBITS FOR A RARE FORM OF OPTIC NEUROPATHY: CASE REPORT


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Endocrine ophthalmopathy is a complex pathology in endocrinology and ophthalmology. This is multidisciplinary problem of endocrinology and ophthalmology. In October 2009, in Amsterdam, international experts on Graves’ ophthalmopathy adopted a document entitled «The Amsterdam Declaration on the need to improve health care delivery to patients with Graves’ ophthalmopathy». Currently, the treatment of endocrine ophthalmopathy includes not many surgical approaches which differ in their effectiveness and safety. One of the most popular methods is transethmoidal endoscopic approach with the removal of the medial and bottom walls of the orbit. In addition, it can be said unequivocally that this method slows down the progression of the disease, thereby improving visual acuity and quality of life. The article describes own authors’ experience of surgical treatment of patient with a diagnosis of «I degree diffuse toxic goiter, moderate thyrotoxicosis, medically induced subcompensation. Endocrine ophthalmopathy OU. Toxic rapidly progressive leftsided exophthalmos, left-sided keratopathy. Left-sided optic neuropathy. Deflected nose septum». After repeated ineffective courses of conservative treatment, transethmoidal orbital decompression was carried out. In the postoperative period, there were no significant oculomotor disorders and strabismus. As a result of the treatment, a significant reduction in the degree of exophthalmos was observed already at the first day after surgery.

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作者简介

P. Kochetkov

FSBEI HE “First MSMU n.a. I.M. Sechenov" of RMH

Email: adenotom@yandex.ru
PhD, Assistant Professor at the Department of Ear, Nose and Throat Diseases Moscow

I. Yu Meytel

FSBEI HE “First MSMU n.a. I.M. Sechenov" of RMH

Department of Ear, Nose and Throat Diseases Moscow

Zh. Godzhyan

FSBEI HE “First MSMU n.a. I.M. Sechenov" of RMH

Department of Ear, Nose and Throat Diseases Moscow

参考

  1. Кочетков П.А., Савватеева Д.М. Транэтмоидальная декомпрессия орбиты при эндокринной офтальмопатии. Рос. оториноларингология 2010;3:95-104.
  2. Baylis H., Call N.B., Shibata C.S. The transantral orbital decompression (Ogura technique) as performed by the ophthalmologist: a series of 24 patients. Ophthalmology. 1980;87:1005-12.
  3. Сасим И.В. Пятилетний опыт применения декомпрессивных операций в лечении пациентов с орбитопатией Грейвса. Здравоохранение. 2000;9:45-9.
  4. Walsh T.E., Ogura J.H. Transantral orbital decompression for malignant exophthalmos. Laryngoscope. 1957;67:544-68.
  5. Kennedy D.W., Goodstein M.L., Miller N.R., Zinreich S.J. Endoscopic transnasal orbital decompression. Arch. Otolaryngol. Head Neck Surg. 1990;116:275-82.
  6. Leone C.R., Piest K.L., Newman R.J. Medial and lateral wall decompression for thyroid ophthalmopathy. Am. J. Ophthalmol. 1989; 108(2):160-66.
  7. McCann J.D., Goldberg R.A., Anderson R.L., Burroughs J.R., Ben Simon G.J. Medial wall decompression for optic neuropathy but lateral wall decompression with fat removal for non vision-threatening indications. Am. J. Ophthalmol. 2006;141:916-17.
  8. Sellari-Franceschini S., Berrettini S., Santoro A., Nardi M., Mazzeo S., Bartalena L., Mazzi B., Tanda M.L., Marcocci C., Pinchera A. Orbital decompression in Graves' ophthalmopathy by medial and lateral wall removal. Otolaryngol. Head Neck Surg. 2005;133:185-89.
  9. Бровкина А.Ф. Эндокринная офтальмопатия. М., 2008. 178 с.
  10. Eloy P., Trussart C., Jouzdani E., Collet S., Rombaux P., Bertrand B. Transnasal endoscopic orbital decompression and Graves' ophtalmopathy. Acta Otorhinolaryngol. Belg. 2000;54:165-74.
  11. Bahn R.S., Bartley G.B., Gorman C.A. Emergency treatment of Graves' ophthalmopathy, Bailliere's Clinical Endocrinology and Metabolism. 1992;6(1):95-105.
  12. McKeag D., Lane C., Lazarus J.H., et al. Clinical features of dysthyroid optic neuropathy: a European Group on Graves' Orbitopathy (EUGOGO) survey. Br. J. Ophthalmol. 2007;91(4):455-58.
  13. Graham S.M., Carter K.D. Combined endoscopic and subciliary orbital decompression for thyroid-related compressive optic neuropathy. Rhinology. 1997;35:103-7.
  14. Hallin E.S., Feldon S.E., Luttrell J., Graves' ophthalmopathy: III. Effect of transantral orbital decompression on optic neuropathy, Br. J. Ophthalmol. 1989;72(9):683-87.
  15. Hayreh S.S., Joos K.M., Podhajsky P.A., Long C.R., Systemic diseases associated with nonarteritic anterior ischemic optic neuropathy. Am. J. Ophthalmol. 1994;118(6):766-80.
  16. Kazim M., Trokel S.L., Acaroglu G., Elliot A. Reversal of dysthyroid optic neuropathy following orbital-fat decompression. Br. J. Ophthalmol. 2000;84:600-5.
  17. Lucarelli M.J., Shore J.W. Management of thyroid optic neuropathy. Int. Ophthalmol. Clin. 1996;36:179-93.
  18. Mensah C., Vignal-Clermont M.C., Mehanna C., Morel X., Galatoire O., Jacomet P.V., Morax S. Dysthyroid optic neuropathy: atypical initial presentation and persistent visual loss. Orbit. 2009;28(6):354-62.
  19. Metson R., Pletcher S.D. Endoscopic orbital and optic nerve decompression. Otolaryngol. Clin. North. Am. 2006;39:551-61.
  20. Bartalena L., Marcocci C., Chiovato L., Laddaga M., Lepri G., Andreani D., Cavallacci G., Baschieri L., Pinchera A. Orbital cobalt irradiation combined with systemic corticosteroids for Graves' ophthalmopathy: comparison with systemic corticosteroids alone. J. Clin. Endocrinol. Metab. 1983;56:1139-44.
  21. Zoumalan C.I., Cockerham K.P., Turbin R.E., Volpe N.J., Kazim M., Douglas R.S., Feldon S.E. Efficacy of corticosteroids and external beamradiation in the management of moderate to severe thyroid eye disease. J. Neuro-оphthalmol. 2007;27(3):205-14.
  22. Городецкий В.В., Тополянский А.В., Лаптев А.О. Глюкокортикоидная терапия сегодня: эффективность и безопасность. Лечащий врач. 2002;3.
  23. Майский В.В. Элементарная фармакология. М., 2009.
  24. Gehanno P., Beauvillain C., Bobin S., Chobaut J.C., Desaulty A., Dubreuil C., Klossek J.M., Pessey J.J., Peyramond D., Strunski A., Chastang C. Short therapy with amoxicillin-clavulanate and corticosteroids in acute sinusitis: results of a multicentre study in adults. Scan. J. Inf. Dis. 2000;32(6):679-84.
  25. Klossek J.M., Desmonts-Gohler C., Deslandes B., Coriat F., Bordure P., Dubreuil C., Gehanno P., Gilain L., Jankowski R., Serrano E., Stoll D. Treatment of functional signs of acute maxillary rhinosinusitis in adults: Efficacy and tolerance of administration of oral prednisone for 3 days. Presse Med. 2004;33(5):303-9.
  26. Chonmaitree T., Saeed K., Uchida T., Heikkinen T., Baldwin C.D., Freeman D.H. Jr, McCormick D.P. A randomized, placebo-controlled trial of the effect of antihistamine or corticosteroid treatment in acute otitis media. J. Pediatr. 2003;377-84.
  27. Adenis J.P., Robert P.Y., Lasudry J.G., Dalloul Z. Treatment of proptosis with fat removal orbital decompression in Graves ophthalmopathy. Eur. J. Ophthalmol. 1998;8:246-52.
  28. Dollinger J. Die Druckentlastung der Augenhohle durch Entfernung der ausseren Orbitawand bei hochgradigem Exophthalmos (Morbus Basedow) und konsekutiver Hornhauterkrankung. Dtsch. Med. Wochenschr. 1911;37:1888-90.
  29. Кочетков П.А., Лопатин А.С. Эндоназальная эндоскопическая декомпрессия орбиты трансэтмоидальным доступом. Рос. оториноларингология. 2009;17(2):122.
  30. Wright E.D., Davidson J., Codere F., Desrosiers M. Endoscopic orbital decompression with preservation of an inferomedial bony strut: minimization of postoperative diplopia. J. Otolaryngol. 1999;28(5):252-56.
  31. Weissman R., OsguthorpeJ. Orbital decompression in Graves' disease. Arch. Otolaryngol. J. Head Neck Sug. 1994;120:8313-14.
  32. Malik R., Cormack G., MacEwen C., White P. Endoscopic orbital decompression for dyscosmetic thyroid eye disease. J. Laryngol. Otol. 2008;122:593-97.
  33. Stiglmayer N., Mladina R., Tomic M., Tojagic M., Juri J., Bubas N., Mrazovac V. Endonasal endoscopic orbital decompression in patients with Graves' ophthalmopathy. Croat. Med. J. 2004;45:318-22.
  34. Clauser L.C., Tieghi R., Galie' M., Franco F., Carinci F. Surgical decompression in endocrine orbitopathy. Visual evoked potential evaluation and effect on the optic nerve. J. Craniomaxillofac. Surg. 2012;40(7):621-25.

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