Decompression surgery for exophthalmos by lateral orbital approach Shigemi Sakai 1 , Hirokazu Takahashi 1 , Hiroko Tanabe 1 , Izuru Suzuki 1 , Yumiko Takeshita 1 1Dept of Plastic Surg St. Marianna Univ Sch of Med pp.375-379
Published Date 1990/3/15
DOI https://doi.org/10.11477/mf.1410908113
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A 45-year-old female presented with bilateral exophthalmos of 20 years' duration. Thyroid dysfunction was ruled out through systemic and laboratory examinations. The exophthalmos mea- sured 20mm hertel for either eye. We performed decompression surgery of the orbit through lateral orbital approach. Following coronary incision on the forehead, the forehead skin flap was turned down to midface until exposure of the upper andlateral orbital rim. After removal of the lateral osseous orbital wall, we severed the orbital periost to induce protrusion of orbital fat tissue responsible for the exophthalmos. After sufficient amount of fat tissue protruded, the surgical wound was closed in the reverse order.

The postsurgical course was uneventful and satis-factory. The amount of proptosis decreased to 15 mm hertel 2 months after surgery. This procedure is recommended for its safety and effectiveness.

Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.


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