The overview of the surgical methods for the treatment of endocrine ophthalmopathy

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To analyse the efficacy of various surgical methods for the treatment of endocrine ophthalmopathy and to estimate the potential of endonasal endoscopic surgery for the management of this pathology. The available literature publications concerning surgical treatment of endocrine ophthalmopathy were reviewed; their data were compared with the results of endoscopic endonasal surgery performed by the authors. Various surgical techniques including those with the use of external and endonasal transethmoidal approachers are discussed with special emphasis on the resection of the medial and inferior orbital walls. The analysis of surgical techniques, peculiarities of postoperative treatment, and its outcomes is presented. This study has demonstrated the advantages of endonasal endoscopic transethmoidal decompression of the orbit over the external surgical approach used to manage endocrine ophthalmopathy.

Keywords:

endocrine ophthalmopathy

transethmoidal orbital decompression

Authors:

Kochetkov P.A.

I.M. Sechenov First Moscow State Medical University, 8-2 Malaya Trubetskaya St., Moscow, Russian Federation, 119991

Savvateeva D.M.

Kafedra bolezneĭ ukha, gorla i nosa GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova", Moskva

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Pat. 2420236 Rossiiskoi Federatsii, MPK51 A 61 V 17/00, S1. Sposob khirurgicheskogo lecheniya endokrinnoi oftal'mopatii. Kochetkov P.A., Lopatin A.S., Savvateeva D.M. Zayavitel' i patentoobladatel' GOU VPO Pervyi MGMU im. I.M. Sechenova Minzdravsotsrazvitiya Rossii №2420236/11; zayavl. 15.01.10; opubl. 10.06.11, Byul. №16. 2 s.

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