Surgical treatment of XXXX .

@entity1 @entity2194 @entity5768 @entity1781 @entity6875
OBJECTIVES: Orbital decompression for @entity6875 may be performed by open or transnasal endoscopic approaches; however, criteria for the selection of the appropriate surgical technique have not been well-defined. Our goal was to compare the surgical outcomes of orbital decompression techniques employed by the otolaryngology and ophthalmology services at a single institution, so as to clarify the indications and develop a rationale for optimal management. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care academic medical center. SUBJECTS AND METHODS: Orbital decompressions on 112 orbits of 69 @entity1 from 2001 to 2008 at a tertiary care academic medical center. RESULTS: The majority (83%) of orbital decompressions were performed primarily for proptosis, whereas the remainder was indicated for @entity1781 . Maximum @entity5768 was achieved with an endoscopic medial and inferior orbital wall decompression combined with a lateral orbitotomy with fat removal. The average reduction in proptosis was 7.4 mm+/-2.3 mm (primary surgery for proptosis). The endoscopic approach alone provided the least average proptosis reduction but was highly successful in the treatment of @entity1781 . CONCLUSIONS: A three-wall decompression using a combined endoscopic and external approach provides the greatest amount of decompression. The endoscopic approach as a single modality is best suited for @entity1 with mild proptosis and for @entity1 with @entity1781 . Cooperation between otolaryngology and ophthalmology achieves the best care for @entity1 with @entity2194 who require surgical treatment.
