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Korinth, Marcus C.; Ince, Azize; Banghard, Werner; Gilsbach, Joachim M.

doi:10.1007/s007010200013

Cited by 19 publications

(4 citation statements)

References 31 publications

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“…Korinth et al [ 26 ] described an extended pterional approach for patients with acute elevation of intraorbital pressure. They documented improvement in proptosis, visual acuity, and eye motility in the majority of their patients.…”

Section: Discussionmentioning

confidence: 99%

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Myeloid Sarcoma: A Rare Case of an Orbital Mass Mimicking Orbital Pseudotumor Requiring Neurosurgical Intervention

Payne

Olivero

Wang

et al. 2014

Case Reports in Neurological Medicine

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Objective. A rare case of myeloid sarcoma (MS), previously referred to as granulocytic sarcoma or chloroma, is presented. Representing a unique form of acute myeloid leukemia (AML), MS may rarely occur in adults. Even rarer, MS may occur as the initial presentation of AML. Methods. We report a singular and illustrative case of an orbital pseudotumor mimicking mass in a 65-year-old male as the initial presentation of AML. Results. Neurosurgical intervention was required to establish the definitive diagnosis via right modified orbitofrontozygomatic craniotomy as well as to decompress the optic canal, superior orbital fissure, and orbit. Conclusion. Postoperatively, he reported decreased pain and improvement of his vision. Further examination revealed decreased proptosis and improved extraocular mobility. Pathological findings demonstrated MS. We review the literature and discuss the neurosurgical relevance of MS as the initial presentation of AML.

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Section: Discussionmentioning

confidence: 99%

“…An average reduction of proptosis of 3.79 mm was achieved. Double vision and restricted eye movement were present in 76.2 percent and improved in 63% [ 26 ]. Schick and Hassler reported their series of neurosurgical management of orbital inflammations and infections.…”

Section: Discussionmentioning

confidence: 99%

Myeloid Sarcoma: A Rare Case of an Orbital Mass Mimicking Orbital Pseudotumor Requiring Neurosurgical Intervention

Payne

Olivero

Wang

et al. 2014

Case Reports in Neurological Medicine

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“…While isolated floor decompression is rarely performed, isolated medial wall decompression with or without endoscopic approach has reported proptosis reduction of 2.5-3.1 mm or 1-4 mm, respectively (reviewed in [ 41 ]). Single lateral wall decompression achieved decompression effects of 2.7-4.8 mm [ 42 , 43 ]. When combined medial with the lateral wall as balanced decompression, larger proptosis reduction can be achieved between 4 and 5.5 mm [ 44 – 46 ].…”

Section: A Practical Algorithm For Surgical Decompression In Disfimentioning

confidence: 99%

Strategies in Surgical Decompression for Thyroid Eye Disease

Cheng

Wei

Liao

2020

Oxidative Medicine and Cellular Longevity

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Surgical management of thyroid eye disease- (TED-) associated morbidity has been plagued by the complex interplay of different operative techniques. Orbital decompression is the well-recognized procedure for disfiguring exophthalmos and dysthyroid optic neuropathy (DON). There are numerous published techniques described for the removal of the orbital bone, fat, or a combination. The diverse studies are noncomparative as they include different indications, stages of disease, and methods of evaluation. Thus, it is difficult to conclude the most efficient decompression technique. To obtain effective and predictable results, it is therefore important to propose a logical and acceptable clinical guideline to customize patient treatment. Herein, we developed an algorithm based on the presence of DON, preoperative existing diplopia, and severity of proptosis which were defined by patient’s disabling symptoms together with a set of ocular signs reflecting visual function or cosmesis. More specifically, we aimed to assess the minimal but effective surgical technique with acceptable potential complications to achieve therapeutic efficacy. Transcaruncular or inferomedial decompressions are indicated in restoring optic nerve function in patients with DON associated with mild or moderate to severe proptosis, respectively. Inferomedial or fatty decompressions are effective to treat patients with existing diplopia associated with mild or moderate to severe proptosis, respectively. Fatty or balanced decompressions can improve disfiguring exophthalmos in patients without existing diplopia associated with mild to moderate or severe proptosis, respectively. Inferomedial or 3-wall decompressions are preferred to address facial rehabilitation in patients associated with very severe proptosis but without preoperative diplopia.

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“…Ein wichtiger Aspekt hierbei ist die Vermeidung postopera-tiver Doppelbilder, welche bei früheren Dekompressionstechniken in bis zu zwei Dritteln aller Fälle auftraten [15]. Neben anderen Verfahren haben sich die (tiefe) laterale Dekompression und die pterionale Dekompression diesbezüglich als günstig erwiesen [16,17]. Ein weiterer Ansatz zur Optimierung der Versorgungsqualität besteht in der patientenzentrierten Wahl des Operationsverfahrens [18].…”

Section: Limitierte Datenlage Trotz Hoher Prävalenzunclassified

Orbitadekompression bei endokriner Orbitopathie – Erfahrungen und Ergebnisse

et al. 2020

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Zusammenfassung Hintergrund Die endokrine Orbitopathie ist die häufigste extrathyreoidale Manifestation des Morbus Basedow und tritt bei schätzungsweise 25–50 % der betroffenen Patienten auf. Krankheitsbedingt kommt es zu einer entzündlichen Schwellung der Orbitaweichteile. Die Behandlung erfolgt meist konservativ. Bei schweren Fällen mit beeinträchtigendem Exophthalmus oder akuter, steroidrefraktärer Visusbedrohung kann eine chirurgische Orbitadekompression die Beschwerden der Patienten lindern oder das Sehvermögen erhalten. Ein wesentlicher Aspekt der Versorgungsqualität besteht in der Vermeidung postoperativer Doppelbilder. Ziel der Arbeit Erfahrungs- und Ergebnisbericht von 100 chirurgischen Orbitadekompressionen bei 62 Patienten an einem interdisziplinären Orbitazentrum. Patienten mit Kompression der Orbitaspitze wurden mittels pterionaler Dekompression behandelt. Patienten ohne Hinweise auf Orbitaspitzenbeteiligung wurden mittels tiefer lateraler Wandresektion oder pterionaler Dekompression behandelt. Methodik Retrospektive Datenanalyse. Ergebnisse Die mittlere Exophthalmusreduktion betrug 2,9 mm. Augen mit visusbedrohendem Schweregrad gewannen im Mittel 2,2 Zeilen an Sehschärfe, der Visus bei rehabilitativer Indikation blieb stabil. Die Komplikationsrate betrug 4 %. Neue Doppelbilder wurden nach 2 Eingriffen beobachtet. Bei einem Patienten kam es zu einer Visusminderung von 0,8 auf 0,1. In 9 Fällen führte die Operation zu einem vollständigen Rückgang zuvor beklagter Doppelbilder. Diskussion Visusgewinn, Exophthalmusreduktion und Komplikationsrate sind in diesem Kollektiv vergleichbar mit zuvor publizierten Arbeiten. Diese Studie bestätigt die Rolle der Orbitadekompression bei visusbedrohender und schwer beeinträchtigender endokriner Orbitopathie.

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Untitled

Cited by 19 publications

References 31 publications

Myeloid Sarcoma: A Rare Case of an Orbital Mass Mimicking Orbital Pseudotumor Requiring Neurosurgical Intervention

Myeloid Sarcoma: A Rare Case of an Orbital Mass Mimicking Orbital Pseudotumor Requiring Neurosurgical Intervention

Strategies in Surgical Decompression for Thyroid Eye Disease

Orbitadekompression bei endokriner Orbitopathie – Erfahrungen und Ergebnisse

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