Lateral wall decompression surgery

Mild proptosis (and/or marked fullness of the lids) can be treated with lateral wall decompression, where extra space is created by removing part of the outer (lateral) wall of the orbit Abstract. Consecutive or worsened strabismus is the most serious complication after orbital decompression surgery. Our interest in the lateral wall of the orbit is precipitated by a continual search for techniques that minimize the risk of new-onset or worsened double vision [1] Results after En Bloc Lateral Wall Decompression Surgery with Orbital Fat Resection in 111 Patients with Graves' Orbitopathy. Fichter N(1), Guthoff RF(2). Author information: (1)Interdisciplinary Center for Graves' Orbitopathy, Admedico Augenzentrum, Fährweg 10, 4600 Olten, Switzerland

The surgery involved removing the lateral orbital wall whilst preserving the lateral rim, the lateral wall being approached through a horizontal skin incision placed lateral to the lateral canthus. After reflecting the periosteum, most of the bone (deep lateral wall) between the skull base and inferior orbital fissure is removed Decompression of the medial wall and orbital floor through a transantral approach is popular, and, recently, a transnasal endoscopic technique has replaced the traditional procedure. Decompression of the lateral wall, alone or associated with the medial wall, has been proposed by many authors Decompression of the medial wall and orbital floor through a transantral approach is popular 6, 17, and, recently, a transnasal endoscopic technique has replaced the traditional procedure 11. Decompression of the lateral wall, alone or associated with the medial wall, has been proposed by many authors 7, 8, 13

Indeed, Dollinger's first published report of surgical decompression in 1911 advocated removal of the lateral orbital wall for decompression into the temporal fossa. Naffziger later reported removal of the orbital roof via a transcranial approach for decompression into the anterior cranial fossa Lateral wall decompression: A 10 - 15 mm long incision is made in the 'laughter line' of the outer eyelids, and a section of bone behind the orbital rim (the outer wall of the orbit) is removed. The skin is closed with a few sutures which are removed after two weeks

This video demonstrates a left lateral orbital decompression. A lateral canthotomy is performed followed by an upper and lower cantholysis. This procedure can also be performed through a lateral lid crease incision. 4-0 silk suture is placed for traction during the case. Dissection is then carried out to the underlying periosteum of the lateral. I spend a lot of time on the lateral wall when I do an orbital decompression. I believe that a maximal lateral wall decompression can provide significant pr..

Lateral Wall Decompression SpringerLin

  1. Mild proptosis (and/or marked fullness of the lids) can be treated with lateral wall decompression, where extra space is created by removing part of the outer (lateral) wall of the orbit; removing this wall has the lowest rate of complications and, in most cases, provides a useful reduction in the signs of TED
  2. Oscillopsia was significantly higher after isolated lateral wall decompression than after balanced or 3-wall decompression, while no differences were found between groups according to diplopia status. Transmission of temporal muscle contraction to the orbit seems to be the cause of the oscillopsia
  3. Decompression is intended to relieve pressure on something. Usually, it implies nerve when performed on the spine, but can also be other soft tissues, such as a subacromial decompression for impingement. If there is an incision posterior to the medial malleolus, a potential reason for this surgery was to decompress the posterior tibial nerve
  4. imum follow-up of 3 months were considered eligible for analysis, and the charts of 111 patients (87 females, 24 males; 164 orbits) were reviewed in detail

Medial and lateral orbital wall surgery for balanced decompression in thyroid eye disease. Laryngoscope. 2003;113:1206-1209. Gulati S, Ueland HO, Haugen OH, Danielsen A, Rodahl E. Long-term follow-up of patients with thyroid eye disease treated with endoscopic orbital decompression Patients and methods: Endoscopic orbital decompression of lateral wall through hairline approach and decompression of medial wall via endoscopic transnasal surgery was done to achieve a balanced orbital decompression, aiming to improve the appearance of proptosis and create conditions for possible strabismus and eyelid surgery afterward

Lateral fusion is an alternative to ALIF and TLIF surgeries. Lateral spine fusion is a unique minimally invasive surgery for several reasons. First, the small incision is only 1 inch long near the waist. Second, its path to the spine is from the side (Fig. 2). The surgeon uses dilation tubes to create a tunnel between the patient's abdominal. The surgical principle is the same in both, where various amounts of orbital fat and orbital bone is removed. The best and safest first orbital wall to remove (or thin out) is the lateral orbital wall, followed by the medial wall, and last the orbital floor. More reduction with added risk is taken as more walls are decompressed Preoperative and Postoperative Data from 11 Thyroid- obtained in all 9 positions of gaze (Table 2); the lack of statistically Related Orbitopathy Patients Undergoing Deep Lateral Wall significant influence of surgery on postoperative horizontal and Orbital Decompression at the Jules Stein Eye Institute, vertical strabismus is reflected by low. To minimise the incidence of iatrogenic diplopia, the lateral and medial walls were used as the first surfaces of decompression, leaving the medial orbital strut intact

severe lateral recess stenosis at L4/5 for the right L5 nerve root. The patient was managed conservatively with oral steroids, nSaiDs, narcotics, and a transforaminal epidural steroid injection (eSi), but continued to be symptomatic. The patient elected to undergo a right L4/5 lateral recess decompression. The surgery was performed b Decompression surgery for spinal stenosis is elective, except in the rare instance of cauda equina syndrome or rapidly progressing neurologic deficits. Your doctor may recommend treatment options, but only you can decide whether surgery is right for you. Be sure to look at all the risks and benefits before making a decision

Results after En Bloc Lateral Wall Decompression Surgery

The simplest form of treatment is isolated lateral wall decompression, and if applied to a patient who has minimal subtalar arthrosis and no hindfoot deformity, good results are produced. The more complex surgical interventions aim to correct the lateral ankle symptoms, subtalar arthrosis, and hindfoot varus The lateral wall includes the zygomatic bone and lower aspect of the frontal bone, and the deep lateral wall is the orbital face of the greater wing of sphenoid posteromedially and the trigone..

Video: Outcome of deep lateral wall rim-sparing orbital

Combined Lateral Orbitotomy and Endoscopic Transnasal

Lateral wall orbital decompression in Graves' orbitopathy

Evolving Techniques of Orbital Decompression for Thyroid

a This patient has a prominent left cheek and exophthalmos preoperatively.b Left exophthalmos is improved after the decompression of the lateral orbital wall.c Full size model. The area surrounded by the red line indicates the maximum size that can be filed off the lateral orbital wall. Decompression to this size is planned. d Model after decompression of the lateral orbital wall of maximum size A progressive decrease in vision on high dose steroids or vision significantly worse than 20/600 argues in favor of decompression surgery. It should be recognized that this is not a decompression of the optic canal but rather of the orbital apex. The surgical reduction of these fractures is through a lateral temporal approach Orbital Decompression Surgery? Do you think I should do the lateral wall removal or endorscopically the medial and lower walls? July 14, 2014. Asked By: gohan. I have proptosis on my left eye. 1.5mm more than my right. It is preventing it from closing during sleep and blinking, and all the symptoms associated with this. It may or may not be due. A brief video showing the modified Rose lateral wall orbital decompression technique as performed by Mr Omar M Durran 28 01 2013. Helena (15:03:28) : I will be having orbital decompression surgery in about 12 days on my left eye as a result of thyroid eye caused by Graves. The muscles ,etc are enlarged the extent that they are pressing on the optic nerve and causing vision loss

Orbital decompression surgery - BOPS

The third area is the anterior lateral wall that includes the zygoma surrounding the anterior tip of the inferior orbital fissure, which can be decompressed out to temporalis muscle and buccal fat. This is the area decompressed in the classic ophthalmic lateral decompression, providing approximately 2 mm of retrodisplacement Lateral wall decompression is highly successful in addressing proptosis whether performed in isolation,6 carried out as a 3-wall decompression15 or when combined with intraorbital fat debulking.16, 17 There is good evidence to support a lateral wall only decompression Endoscopic optic canal decompression. 19 Jun, 2017 uploaded. 다운로드 This narrated video demonstrates endoscopic decompression of the intracanalicular section of the optic nerve in the sphenoid sinus. It explores the surgical anatomy with particular attention to the lateral wall of the sphenoid sinus 천국보다 아름다운 다운로드 ial wall decompression, postoperative outcome data with respect to visual acuity, intraocular pressure (IOP) and reduction of proptosis and diplopia were recorded before the medial wall decompression. For those who had the medial wall removed before the lateral wall, preoperative data were obtained after the medial orbital wall decom-pression

Balanced orbital decompression involves lateral and medial wall decompressions simultaneously and is thought to reduce the risk of postoperative diplopia by balancing the amount of decompression on both sides of the orbit, thus reducing horizontal globe shifts.4-7 The most commonly used method for the decompression of the medial wall is. Bony decompression includes removing portions of the orbital wall (floor, medial, and lateral walls) 15,16,18-26; other surgeons perform primarily intraconal fat removal. 25,27 We have developed a graded approach to decompression that is customized to the patient. For patients with congestive orbitopathy and mild to moderate proptosis (2-4 mm.

Left Lateral Orbital Decompressio

Left Lateral Orbital Decompression - YouTub

to surgery and side of the heel that was operated. Time required for surgery, and preoperative and postoperative AOFAS ankle-hindfoot scale scores were also recorded. Fig. 4: Gliding of the peroneal tendons checked over the decompressed lateral wall Fig. 5: The excised lateral wall A Fixing the Tunnel with Decompression Surgery The Procedure. In some cases, we may be able to relieve the pressure on the tibial nerve through conservative remedies such as physical therapy, orthotics, or immobilization. You can read about some of these options in our article on tarsal tunnel syndrome. However, sometimes decompression surgery is. Thoracic Decompression and Instrumented Fusion Techniques Ajinkya Rane William Ryan Spiker Michael D. Daubs Introduction Thoracic decompression and instrumented fusion techniques are critical in the care of thoracic spinal pathology. Symptomatic degenerative disk disease is far less common in the thoracic spine compared to the cervical and lumbar regions Lateral wall decompression: A 10 - 15 mm long incision is made in the 'laughterline' of the outer eyelids, and a section of bone behind the orbital rim (the outer wall of the orbit) is removed. The skin is closed with a few sutures which are removed after two weeks. Medial (inner) wall decompression: A fine incision is madebehind the.

Lateral wall decompression involves removing the bone of the deep lateral orbital wall, known as the trigone. Alternatively or additionally, the inner surface of the super and/or lateral walls can be thinned using a burr. Indications. Compressive optic neuropathy, exposure keratopathy, and proptosis are key indications for orbital decompression. Several approaches to lateral decompression have been described, these initially involving removal of anterior portions of the lateral orbital wall [17]. However, recent techniques report removal of the wider areas of bone from the posterior lateral wall; these are often referred to as the door jamb and the deep lacrimal keyhole [18,19] The surgical technique has been reported previously, using hidden incisions including lateral upper eyelid crease incision (to approach the lateral orbital wall decompression and basin and inferolateral intraconal fat) and transcaruncular incision (for medial wall decompression and removal of posterior orbital strut and medial intraconal fat.

Surgical transposition for decompression of the LFCN in the frontal plane has been proposed. 14,17,21,22,28 First, the LFCN was transposed from medial to lateral. 28 Later, it was found more logical to transpose the nerve from lateral to medial. 14,17,21,22 Intraoperatively, we did not observe shifting of the LFCN in the frontal plane during. Our preferred method of decompression for the vast majority of patients is a balanced decompression involving mainly the lateral and medial walls. The posterior orbital floor can be added in patients with more significant proptosis or to identify the posterior maxillary sinus wall as a landmark to help gauge the posterior extent of. A two-wall decompression of the orbit, consisting of removal of the medial and lateral walls, was successful in eight patients with thyroid ophthalmopathy. The lateral wall was by removed by using the standard orbitotomy technique in addition to enlarging the space with a pneumatic burr, and the medial wall was removed through a direct medial. Orbital decompression surgery is performed to relieve exophthalmos, a condition associated with Graves' disease, which causes the eyes to bulge and may lead to loss of vision.. Orbital Decompression: Why It's Performed. Patients typically elect to undergo this procedure when the symptoms of exophthalmos become severe. This stage of the disease may include

The study was conducted at Eye and ENT Hospital of Fudan University between March 2016 and May 2018. The TED patients who underwent orbital decompression surgery, including 1-wall (deep lateral wall), 2-wall (deep lateral and medial wall) and 3-wall (deep lateral, medial and inferior wall) decompression were enrolled The medial wall can be approached endoscopically but a balanced method which requires repositioning of lower lid in conjunction with lateral decompression is often used. The surgical approach for obtaining decompression involves uses of endoscopes which involve inferior and medial walls

Oscillopsia After Isolated Lateral Wall Decompression

  1. Cases of lateral wall leak reported in the literature have occurred during lateral wall decompression with a cutting burr.3 We report a unique case of CSF leak from the lateral orbital wall during orbital exenteration for rhino-orbital mucormycosis. Mucormycosis is an aggressive infection and can lead to extensive tissue necrosis as the fungus.
  2. BACKGROUND: Isolated deep lateral and combined medial orbital wall decompressions (balanced decompression) are well accepted for treatment of disfiguring proptosis and compressive optic neuropathy in patients with Graves' orbitopathy. However, cerebrospinal fluid leakage and/or optic nerve injury occasionally occur during these operations
  3. What does orbital decompression surgery involve? With lateral wall decompression, hollowness over the bony lateral wall and a sensation of eye movement with eating can rarely occur - these tend not to require intervention. With decompression of the orbital floor (this being undertaken only in patients with more severe proptosis), numbness.

ObjectiveThe objective of this study is to describe a technique for balanced orbital decompression and to analyze the results.Methods and MaterialsWe conducted a retrospective study of 140 patients.. Endoscopic decompression of the orbit is achieved by first fully removing the ethmoid air cells and then removing the thin bone (lamina papyracea) that forms the medial wall of the orbit Rarely there can be slight double vision (diplopia) immediately after surgery - due to swelling of eye muscles - but this almost always settles within a few days. The almost complete absence of persistent new diplopia as a complication of surgery is the major benefit of lateral wall decompression Modified lateral orbital wall decompression in Graves' orbitopathy using computer-assisted planning. and piezoelectric surgery. This new method combines the advantages of different techniques and appears to be a valid approach to the treatment of severe cases of Graves' orbitopathy.. Lateral orbital wall decompression, rim sparing, ab-interno. This opens in a new window. This narrated video demonstrates the rim sparing ab-interno approach to lateral orbital wall decompression, which may minimise temporalis trauma and haemorrhage thereby probably reducing the risk of temporalis hollowing and masticatory oscillopsia 무료.

when the lateral wall of the orbita was opened because. The maximum size of decompression is up to the greater sphenoid wing. Orbital lateral wall decompression is said to be effective for ophthalmopathy. Decompression could improve the exophthalmos by 5 mm on average (Goldberg et al. 1998, 2000; Leone et al. 1989) Decompression surgery for spinal stenosis is elective, except in the rare instance of cauda equina syndrome or rapidly progressing neurologic deficits. Your doctor may recommend treatment options, but only you can decide whether surgery is right for you. Be sure to look at all the risks and benefits before making a decision This narrated video demonstrates a CSF leak during the drilling out of the trigone in a lateral wall orbital decompression. The anatomy of the trigone and the locations where the dura can be breached, as well as the management of CSF leaks in this region are reviewed. 시로 오니 다운로드. . 펀치히어로 1.3.8 다운로드

Preoperative CT assessment of the lateral wall may help to some degree, but the prime fear during a lateral posterior decompression, is the risk of entry into the anterior and middle cranial fossa. Diplopia resolved spontaneously in all the patients of group 1, while all the patients of group 2 required surgery. CONCLUSIONS Removal of the deep lateral orbital wall as part of a coronal-approach, 3-wall decompression, enhances the degree of exophthalmos reduction without increasing the risk of consecutive diplopia

What kind of surgery is an ankle decompression

absence of lateral wall in all 11 orbits and evidence of prolapsed lacrimal gland into the wall defect in four orbits. Intervention included the repair of the lateral wall defect with a sheet implant, orbital decompression involving fat, the medial wall or orbital floor and autologous fat transfer or synthetic filler for temple hollowness Most people only require a two wall, maxillary-ethmoidal decompression; occasionally, the outside (lateral) wall of the orbit may also be removed. The surgical method utilized by Dr. Klapper to remove the bone of the orbital floor (underneath the eye) involves an incision on the inside of the eyelid and a very small skin incision near the outer.

Other orbital decompression techniques report slightly higher retroplacement effects on the globe. Balanced orbital decompression by removal of the medial and lateral walls has been reported to give a retroplacement effectof4.1mm- 5.3mm [17, 18]. With 3-wall decompression, Unal et al.¨ found a mean reduction of proptosis of 6.9mm [19] three wall decompression,and one patient (two orbits) a two wall decompression (lateral and medial wall) (Fig 1). To spare the infraorbital nerve and to reduce the risk of a dropped bul-bus (hypoglobus),10 we removed only the medial part of the floor in six of 18 patients (11 orbits) who underwent a three wall decompres Surgical treatment of dysthyroid exophthalmos consists of some type of orbital decompression, either by an expansion osteotomy or by removal of two or more walls. A technique is presented whereby the entire lateral wall and the lateral part of the floor are removed with their rim. The resected bone is removed in one piece and the periorbit is excised rather than incised. 56 orbits in 29. Our current practice for patients with thyroid eye disease is to do lateral wall decompression for mild to moderate cases (Hertel values usually 23 mm or less) with no optic nerve involvement, endoscopic medial wall decompression for cases with optic neuropathy and combined endoscopic medial and lateral wall decompressions for more severe cases. Objective The objective of this study is to describe a technique for balanced orbital decompression and to analyze the results. Methods and Materials We conducted a retrospective study of 140 patients (276 orbits). Orbital decompression was carried out by removal of the medial orbital wall by ethmoidectomy and complete removal of the lateral wall by bringing out the entire sphenoid wing.

Orbital Decompression in Thyroid Eye Disease - American

No complications were associated with orbital decompression. In conclusion deep lateral wall orbital decompression surgery with intraconal fat debulking is associated with a low rate (2.6%) of new-onset primary gaze diplopia. Some patients (5.2%) with preoperative diplopia actually had improvement in diplopia postoperatively With 3-wall decompression, Ünal et al. found a mean reduction of proptosis of 6.9 mm . Goldberg et al. report an average decompression of 4.5 mm with deep lateral wall decompression . It is reasonable that transcaruncular orbital decompression may result in less retrusion of the globe than some other techniques

Spinal Fusion: Lateral Lumbar Interbody Fusion (LLIF

Lateral wall decompression (single wall) Lateral and medial wall decompression (2 wall) Lateral, medial and floor decompression (3 wall) Double vision. Immunosuppression and low dose radiotherapy during the active phase; Incorporation of an optical 'prism' within the glasses for small degrees of stable squint Methods: A total of 48 patients with conclusive diagnostic imaging and interventional workup underwent endoscopic transforaminal and lateral recess decompression for both persistent or recurrent leg and/or low back pain following previous lumbar laminectomy (22 patients) or decompression fusion surgery (26 patients). In addition to radiographic studies, patients were followed for a minimum of. Further posteromedial floor removal was carried out through removal of the posterior two-thirds of the inferomedial strut. In 3-wall decompression, the medial wall and medial half of the floor were removed endonasally, whilst the lateral wall and remainder of the floor were removed via standard swinging eyelid approach

lateral canthoplasty, upper and lower eyelid retractor release, and 1- to 3-wall orbital decompression. A Wikipedia review on Graves' ophthalmopathy (Last modified July 20, 2015) states that Eyelid surgery is the most common surgery performed on Graves ophthalmopathy patients. Lid-lengthening surgeries can be done on upper an Medial and lateral orbital wall surgery for balanced decompression in thyroid eye disease. Laryngoscope 2003; 113 : 1206-1209. Article Google Schola

Welcome to the orbital section of EyeSurgeryVideos.net, which contains ultra-high quality, narrated orbital surgery videos. These videos demonstrate and explore the relevant anatomy, techniques and complications of a wide range of surgical procedures such as eye removal surgery (enucleation, evisceration and exenteration), orbital decompression (external and endoscopic) and tumour excision. The extension of the lateral floor decompression is achieved with a combination of the burr and Kerrison rongeurs. The posterior extension of the lateral floor can be inspected without electromagnetic guidance. Step 5. Finally, attention is directed to the lateral orbital wall. The lateral orbital periosteum is incised and reflected. In the case of lateral orbital wall decompression, the removed lateral orbital wall is replaced with temporalis fascia, which is soft tissue, rather than a hard structure like the lateral orbital wall. Fayers et al. reported that, after lateral orbital wall decompression, 35% of the patients had noted postoperative oscillopsia. They also. For severe disease, consideration should be given to a balanced three-wall decompression, which combines an endoscopic medial and inferior floor decompression with an external-approach lateral wall decompression via lateral cathotomy. The patient is positioned in the typical fashion for endoscopic sinus surgery after general anesthesia is induced A systematic literature review of orbital decompression for TED. Results. Within the reviewed period, 93 orbits of 55 patients underwent decompression surgery for TED. There were 61 lateral (single) wall decompressions, 17 medial one-and-a-half wall, 11 two-and-a-half wall, 2 balanced two wall, and 2 orbital fat only decompressions

Orbital Decompression Specialist - Beverly Hills, CA

Kalman et al. (1997) performed a three‐wall decompression (lateral wall, roof and floor) in 125 patients and reported a mean reduction in proptosis of 4.3 mm. Results on visual acuity were not given. Diplopia pre‐ and postoperatively was present in 60.8% and 68%, respectively, with worsening in 8.8% of the patients Endoscopic transnasal orbital apex decompression was performed in a DON patient. a Before removal of the inferior wall of the left orbital apex (white asterisk).b After removal of the bone at the junction of orbital apex and pterygopalatine fossa (black asterisk).c After decompression of the anterior segment of the optic canal. The orbital periosteum of the orbital apex is incised (black arrow) BACKGROUND Graves' disease associated orbitopathy (thyroid orbitopathy) gives rise to a characteristic facial appearance and aesthetic concerns due to exophthalmus and eyelid abnormalities, most notably upper eyelid retraction. Involvement of ocular muscles or compression of the optic nerve near the orbital apex can lead to diplopia and decreased visual acuity. METHODS Seven patients with. is experienced. This is uncommon with lateral wall decompression and more frequent with 2 and 3-wall decompression. Postoperative appointments are scheduled for 2 weeks after surgery, when the stitches are removed, and again 6 weeks later. Overview: What is orbital decompression surgery? The Stoneygate Eye Hospita

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