Department of Ophthalmology & Visual Sciences, University of Adelaide, North Terrace, SA, 5000, Australia.
South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Port Road, SA, 5000, Australia.
Eye (Lond). 2019 Dec;33(12):1924-1929. doi: 10.1038/s41433-019-0519-7. Epub 2019 Jul 8.
BACKGROUNDS/OBJECTIVES: Intraoperative handling and manipulation of orbital fat remains a challenge to orbital surgeons. We present a case series of endoscopic orbital fat decompression with medial orbital wall decompression for proptosis management in Grave's orbitopathy, describing a technique for fat excision using a laryngeal skimmer blade, reporting clinical and surgical outcomes, and complications.
SUBJECTS/METHODS: All patients who underwent endoscopic orbital fat decompression, with medial orbital wall decompression, for proptosis management in Grave's orbitopathy between 2011 and 2018, under the care of a single surgeon, were included in this retrospective interventional case series.
Nineteen patients were included in this study. Using a laryngeal skimmer blade, orbital fat was excised endoscopically at the time of medial orbital wall decompression. The mean volume of orbital fat excised was 1.45 ± 0.63 ml and the mean reduction in proptosis was 4.5 ± 1.02 mm. There were no intraoperative complications.
In this study, we describe our experience of using a laryngeal skimmer blade as a method of excising orbital fat for orbital decompression in patients with proptosis secondary to Grave's orbitopathy.
背景/目的：眼眶脂肪的术中处理和操作仍然是眼眶外科医生面临的挑战。我们报告了一系列内镜眶脂肪减压伴内侧眶壁减压治疗格雷夫斯眼病突眼的病例，描述了一种使用喉刮匙刀片切除脂肪的技术，报告了临床和手术结果及并发症。
对象/方法：在 2011 年至 2018 年期间，在一位外科医生的治疗下，所有因格雷夫斯眼病而行内镜眶脂肪减压伴内侧眶壁减压以治疗突眼的患者均被纳入本回顾性介入性病例系列研究。
本研究共纳入 19 例患者。在进行内侧眶壁减压时，使用喉刮匙刀片在内镜下切除眶脂肪。平均切除眶脂肪体积为 1.45±0.63ml，平均突眼减少 4.5±1.02mm。术中无并发症。
在这项研究中，我们描述了使用喉刮匙刀片作为一种切除眶脂肪的方法，用于治疗因格雷夫斯眼病导致的突眼的眼眶减压。
