TRANSNASAL ENDOSCOPİC ORBİTAL DECOMPRESSİON: 24 PATIENT INCLUDING OUR CLINICAL EXPERIENCE
Marmara Üniversitesi, KBB, İstanbul, Türkiye Objective: To present the results and evaluate the effectiveness of endoscopic transnasal orbital decompression.Material- Method: This study were included 30 eyes of 24 patients who were operated due totrauma, Graves ophthalmopathy and orbital cellulitis Between January 2014- January 2016. Under general anesthesia, the patient underwent endoscopic transnasal decompression operations. Patients were examined endoscopically at the end of 1 and 3 months after the operation.
Result: There were no surgical complications for the 30 orbital decompressions except one patient undergone cerebrospinal fluid leak after the operation. Proptosis decreased in all orbits after the decompression, with a mean decrease of 1.70 mm, range 0.6 to 4 mm (p < 0.01) 1 month postoperatively and 2.04 mm, range 0 to 6 mm (p < 0.01) 3 months postoperatively. Alhough no preoperative light reflex was seen in the ten patient that undergone operation for orbital cellulitis, 9 of 10 patients showed a positive light reflex after surgery. 2 of the 8 trauma patients P (-) remained.
Conclusion: The transnasal orbital decompression surgery is a reliable method with the low risk of complications and providing oppurtunity of extensive surgery view.
Keywords : Orbital Decompression; Graves ophthalmopathy; trauma; orbital cellulitis