지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 85 - 91 (7page)
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초록· 키워드
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Purpose: To evaluate the clinical outcomes of balanced deep lateral and medial orbital wall decompression andto estimate surgical effects using computed tomography (CT) images in Korean patients with thyroid-associatedophthalmopathy (TAO).
Methods: Retrospective chart review was conducted in TAO patients with exophthalmos who underwent balanceddeep lateral and medial orbital wall decompression. Exophthalmos was measured preoperatively andpostoperatively at 1 and 3 months. Postoperative complications were evaluated in all study periods. In addition,decompressed bone volume was estimated using CT images. Thereafter, decompression volume in eachdecompressed orbital wall was analyzed to evaluate the surgical effect and predictability.
Results: Twenty-four patients (48 orbits) with an average age of 34.08 ± 7.03 years were evaluated. The meanpreoperative and postoperative exophthalmos at 1 and 3 months was 18.91 ± 1.43, 15.10 ± 1.53, and 14.91 ± 1.49mm, respectively. Bony decompression volume was 0.80 ± 0.29 cm3 at the medial wall and 0.68 ± 0.23 cm3 atthe deep lateral wall. Postoperative complications included strabismus (one patient, 2.08%), upper eyelid foldchange (four patients, 8.33%), and dysesthesia (four patients, 8.33%). Postsurgical exophthalmos reductionwas more highly correlated with the deep lateral wall than the medial wall.
Conclusions: In TAO patients with exophthalmos, balanced deep lateral and medial orbital wall decompressionis a good surgical method with a low-risk of complications. In addition, deep lateral wall decompression hashigher surgical predictability than medial wall decompression, as seen with CT analysis.
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참고문헌 (22)
참고문헌 신청
Wiersinga WM / 1989 / Clinical presentation of Graves’ ophthalmopathy / Ophthalmic Res 21:73~82
McCord CD Jr / 1985 / Current trends in orbital decompression / Ophthalmology 92:21~33
Trokel SL / 1981 / Correlation of CT scanning and pathologic features of ophthalmic Graves’ disease / Ophthalmology 88:553~564
Heufelder AE / 2000 / Pathogenesis of ophthalmopathy in autoimmune thyroid disease / Rev Endocr Metab Disord 1:87~95
Lyons CJ / 1994 / Orbital decompression for disfiguring exophthalmos in thyroid orbitopathy / Ophthalmology 101:223~230
McCord CD Jr / 1985 / Current trends in orbital decompression / Ophthalmology 92:21~33
Trokel SL / 1981 / Correlation of CT scanning and pathologic features of ophthalmic Graves’ disease / Ophthalmology 88:553~564
Heufelder AE / 2000 / Pathogenesis of ophthalmopathy in autoimmune thyroid disease / Rev Endocr Metab Disord 1:87~95
Lyons CJ / 1994 / Orbital decompression for disfiguring exophthalmos in thyroid orbitopathy / Ophthalmology 101:223~230
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