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Journal articles on the topic 'Orbital decompression'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Mahoney, Nicholas, Michael P. Grant, SrinivasMurthy Susarla, and Shannath Merbs. "Computer-Assisted Three-Dimensional Planning for Orbital Decompression." Craniomaxillofacial Trauma & Reconstruction 8, no. 3 (2015): 211–17. http://dx.doi.org/10.1055/s-0034-1393731.

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Thyroid-associated orbitopathy is the most common cause of unilateral or bilateral proptosis in adults. A mainstay of surgical treatment is orbital decompression utilizing osteotomies to increase the size of the affected bony orbit to accommodate the larger soft tissue volume. Over the past several decades, numerous approaches have been described for orbital decompression. However, given the intricate osseous and soft tissue anatomy within the orbit, orbital decompression is a potentially hazardous intervention. With advances in three-dimensional imaging and virtual planning, extensive orbital

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2

Swartz, J. M., E. K. Weitzel, and K. C. McMains. "Contribution of the medial orbital floor to endoscopic orbital decompression." Rhinology journal 49, no. 1 (2011): 80–83. http://dx.doi.org/10.4193/rhino09.185.

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PROBLEM: This study explores contribution of the orbital floor to mechanical outcomes of orbital decompressions. METHOD OF STUDY: Endoscopic medial wall orbital decompressions with and without extensive medial orbital floor removal (OFR) were performed on opposite sides of ten thawed fresh-frozen cadaver heads Bone removal was compared on pre- and post-dissection CT scans and after orbital exenteration. RESULTS: Bony removal in the anterior orbital apex was significantly better after OFR (117 vs 66, p < 0.0001). An average of 10.3% (range 0 - 45.5%) of the orbital floor directly under the g

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3

Ha, Jerome How Ing, James Leong, Peter Martin, Raf Ghabrial, and Ross Benger. "Outcomes following orbital decompression surgery for dysthyroid optic neuropathy associated with Graves’ ophthalmopathy." Asian Journal of Ophthalmology 14, no. 3 (2015): 97–107. http://dx.doi.org/10.35119/asjoo.v14i3.138.

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Purpose: To investigate the outcomes of orbital decompression surgery for dysthyroid optic neuropathy associated with severe Graves’ ophthalmopathy. Design: Ten years (2000-2010) retrospective case series.Methods: Thirty-eight orbits (with dysthyroid optic neuropathy) of 119 surgical orbital decompressions. Patients with dysthyroid optic neuropathy associated with Graves’ ophthalmopathy, who underwent orbital decompression surgery at Sydney Eye Hospital (Sydney, Australia), were investigated for outcome measures.Results: Thirty-five orbits were eligible for data analysis. Orbital decompression

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4

Metson, Ralph, John W. Shore, Richard E. Gliklich, and Richard L. Dallow. "Endoscopic Orbital Decompression Under Local Anesthesia." Otolaryngology–Head and Neck Surgery 113, no. 6 (1995): 661–67. http://dx.doi.org/10.1016/s0194-59989570001-3.

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Orbital decompression for Graves' disease has traditionally been performed with the patient under general anesthesia. Endoscopic instrumentation allows for removal of the medial orbital wall and floor through an intranasal approach with local anesthetic techniques. Twelve endoscopic orbital decompressions were performed on awake patients with uncovered eyes so that vision could be monitored throughout the procedure. Simultaneous lateral decompressions were performed in 11 cases. No intraoperative or postoperative complications occurred. Visual acuity remained stable or improved in all cases. P

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5

Haissan Iftikhar, Muhammad Hammad Deewani, Syed Akbar Abbas, Zohra Lassi, Jai Das, and Shahzada Ahmed. "Two walls versus three wall orbital decompression for thyroid eye disease: A systematic review and meta-analysis." Journal of the Pakistan Medical Association 75, no. 05 (2025): 777–81. https://doi.org/10.47391/jpma.10271.

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Objective: To assess whether three-wall surgical orbital decompression confers any benefit over two-wall surgical orbital decompression in terms of decrease in proptosis and new-onset diplopia. Method: The systematic review was conducted in 2020, and comprised literature search on Elton B. Stephens Co, Cumulative Index to Nursing and Allied Health Literature, Wiley Cochrane Library, Web of Science and PubMed databases for studies published from 1948 to 2019 that compared two-wall (medial and inferior) endoscopic decompressions with three-wall decompression. Relevant data was extracted from the

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6

Cruz, Antonio Augusto V., and Valmor Rios Leme. "Orbital Decompression." Ophthalmic Plastic & Reconstructive Surgery 19, no. 6 (2003): 440–45. http://dx.doi.org/10.1097/01.iop.0000092796.43025.b1.

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7

Jordan, David R., and Richard L. Anderson. "Orbital Decompression." Ophthalmic Plastic and Reconstructive Surgery 16, no. 2 (2000): 167–68. http://dx.doi.org/10.1097/00002341-200003000-00013.

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8

MILLER, R. H. "Orbital Decompression." Archives of Otolaryngology - Head and Neck Surgery 115, no. 1 (1989): 15. http://dx.doi.org/10.1001/archotol.1989.01860250017010.

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9

Shahraki, Kourosh, Mehdi Tavakoli, Keivan Khosravifard, Maryam Aletaha, and Hossein Salour. "Outcomes of orbital decompression for thyroid eye disease over a 10-year period at a tertiary eye care referral center." Medical hypothesis, discovery & innovation in optometry 4, no. 3 (2023): 121–28. http://dx.doi.org/10.51329/mehdioptometry181.

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Background: Orbital decompression is frequently indicated to treat exophthalmos and compressive optic neuropathy, among other indications for thyroid eye disease (TED). This study aimed to evaluate the outcomes of orbital decompression and compare the results by urgency and type of surgery in patients with TED. Methods: In this cross-sectional study, we recruited patients with TED who had undergone emergency or elective orbital decompression surgery at a tertiary eye care referral center in Tehran, Iran, between 2010 and 2020. Ophthalmic examination findings, demographic and clinical pro

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10

Lee, Jeong Kyu. "Effect of Posterior Strut Removal during Orbital Decompression for Graves’ Orbitopathy." Annals of Optometry and Contact Lens 24, no. 1 (2025): 1–6. https://doi.org/10.52725/aocl.2025.24.1.1.

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Purpose: To assess the effect of posterior strut removal during orbital decompression on exophthalmos reduction and strabismus outcomes in patients with Graves’ orbitopathy (GO).Methods: This retrospective analysis was conducted using the medical records of patients with GO who underwent balanced orbital decompression, balanced orbital decompression with posterior strut removal, or three-wall orbital decompression with strut removal. The preoperative and postoperative exophthalmos measurements were compared to evaluate the efficacy of strut removal in reducing exophthalmos. Patients were furth

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11

Malik, R., G. Cormack, C. MacEwen, and P. White. "Endoscopic orbital decompression for dyscosmetic thyroid eye disease." Journal of Laryngology & Otology 122, no. 6 (2007): 593–97. http://dx.doi.org/10.1017/s0022215107009838.

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AbstractAim:To document the results of endoscopic orbital decompression performed in a group of patients with thyroid eye disease in order to improve cosmesis.Methods:A retrospective case review was performed of all patients who had undergone endoscopic orbital decompression for cosmesis in our departments during the period January 1996 to September 2002. A postal questionnaire was sent to all patients who had undergone the operation, in order to assess patient satisfaction.Results:Twenty orbits of 15 patients underwent endoscopic decompression. For all orbits, the reduction in proptosis was 3

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12

Goldberg, Robert A., and Taras Gout. "Orbital Decompression: Conceptual Approach for Orbital Volume Expansion." Ophthalmic Plastic & Reconstructive Surgery 39, no. 6S (2023): S105—S111. http://dx.doi.org/10.1097/iop.0000000000002556.

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Purpose: To review the advances in the surgical techniques of orbital decompression. Methods: A literature review of orbital decompression surgery and experience-based consideration of bony areas for decompression. Results: In the 100-year-plus span of orbital decompression literature, multiple incisions and multiple bone and fat removal strategies have been described. In general, bone removal has been conceptualized as consisting of 4 walls of the orbit. However, the orbital bony anatomy is more subtle than a simple box, and considering 6 areas of potential bony removal allows a more nuanced

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13

Bedrossian, Robert H. "Emergency Orbital Decompression." Ophthalmic Surgery, Lasers and Imaging Retina 16, no. 5 (1985): 293–95. http://dx.doi.org/10.3928/1542-8877-19850501-04.

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14

Cetinkaya, A. "Orbital Decompression Surgery." POINT OF VIEW. EAST – WEST, no. 4 (June 1, 2019): 83–84. http://dx.doi.org/10.25276/2410-1257-2019-4-83-84.

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15

Platt, Michael P., Raj Sindwani, and Ralph Metson. "Endoscopic orbital decompression." Operative Techniques in Otolaryngology-Head and Neck Surgery 19, no. 3 (2008): 162–66. http://dx.doi.org/10.1016/j.otot.2008.09.010.

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16

Zoumalan, Christopher I., Michael Kazim, and Richard D. Lisman. "Endoscopic orbital decompression." Operative Techniques in Otolaryngology-Head and Neck Surgery 22, no. 3 (2011): 223–28. http://dx.doi.org/10.1016/j.otot.2011.08.016.

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17

Ting, Jonathan Y., and Raj Sindwani. "Endoscopic orbital decompression." Operative Techniques in Otolaryngology-Head and Neck Surgery 25, no. 2 (2014): 213–17. http://dx.doi.org/10.1016/j.otot.2014.02.013.

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18

Metson, Ralph. "Endoscopic Orbital Decompression." Otolaryngology–Head and Neck Surgery 112, no. 5 (1995): P78—P79. http://dx.doi.org/10.1016/s0194-5998(05)80176-7.

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19

Metson, Ralph, Richard L. Dallow, and John W. Shore. "Endoscopic Orbital Decompression." Laryngoscope 104, no. 8 (1994): 950???957. http://dx.doi.org/10.1288/00005537-199408000-00008.

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20

Kersten, Robert C., and Dwight R. Kulwin. "Traumatic Orbital Decompression." American Journal of Ophthalmology 105, no. 6 (1988): 699–700. http://dx.doi.org/10.1016/0002-9394(88)90078-5.

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21

Nowinski, Thaddeus S., and Richard L. Anderson. "Thyroid Orbital Decompression." Ophthalmic Plastic & Reconstructive Surgery 2, no. 1 (1986): 45. http://dx.doi.org/10.1097/00002341-198601040-00021.

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22

Kerstin, R. C., and D. R. Kulwin. "Traumatic Orbital Decompression." Ophthalmic Plastic & Reconstructive Surgery 4, no. 4 (1988): 255. http://dx.doi.org/10.1097/00002341-198804040-00028.

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23

Rizk, Samieh S., Ariadna Papageorge, Lisa A. Liberatore, and Evan H. Sacks. "Bilateral simultaneous orbital decompression for Graves' orbitopathy with a combined endoscopic and Caldwell-Luc approach." Otolaryngology–Head and Neck Surgery 122, no. 2 (2000): 216–21. http://dx.doi.org/10.1016/s0194-5998(00)70242-7.

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Graves' orbitopathy can lead to cosmetic deformity, orbital pain, and visual impairment. Surgical intervention can improve proptosis, cosmetic appearance of the eyelids, vision, and orbital pain with minimal morbidity. Ten patients with dysthyroid orbito-pathy underwent concurrent bilateral orbital decompressions. Of these, 9 underwent simultaneous bilateral endoscopic and transantral decompressions, and 1 had only bilateral endoscopic decompressions. Medical management of keratopathy was attempted before surgery. All patients were previously treated with radioiodine and high-dose corticostero

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24

Kilgue, Alexander, Christoph Pfeiffer, Lars-Uwe Scholtz, et al. "Decompression Surgery of Orbital Compartment Syndrome—Analysis of Surgery Procedures and Visual Function." Journal of Clinical Medicine 14, no. 10 (2025): 3453. https://doi.org/10.3390/jcm14103453.

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Objective: Various orbital conditions (trauma, autoimmune thyroid disease, tumors, infections, congenital malformations) may lead to a consecutive increase in orbital cavity pressure resulting in orbital compartment syndrome (OCS). OCS is associated with acute loss of visual function and a high risk of permanent damage to the optic nerve (compressive optic neuropathy). Orbital decompression surgery (ODS) is a time-critical procedure that reduces pressure on the optic nerve, thereby improving visual function. The surgical management protocol for orbital decompression is not standardized and var

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25

Simon, G. J. B. "Bilateral decompression retinopathy after orbital decompression surgery." British Journal of Ophthalmology 88, no. 12 (2004): 1605–6. http://dx.doi.org/10.1136/bjo.2004.049767.

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26

Korinth, Marcus C., Azize Ince, Werner Banghard, Beate C. Huffmann, and Joachim M. Gilsbach. "Pterional Orbita Decompression in Orbital Hemorrhage and Trauma." Journal of Trauma: Injury, Infection, and Critical Care 53, no. 1 (2002): 73–78. http://dx.doi.org/10.1097/00005373-200207000-00015.

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27

Fu, Weina. "Changes of Volume Parameters in the Treatment of Graves Ophthalmopathy by Endoscopic Transethmoidal Decompression of the Orbital Inner Wall Combined with Fat Decompression." Scanning 2022 (August 24, 2022): 1–6. http://dx.doi.org/10.1155/2022/8149247.

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Objective. To observe the orbital volume changes and the analysis of surgical effect of Graves orbitopathy (GO) after endoscopic medial wall decompression combined with muscle cone fat. Methods. Twenty-two patients (30 eyes) with Graves orbital disease who visited the Department of Ophthalmology of Ningbo Medical Center from December 2019 to September 2021 were retrospectively collected. All patients were diagnosed as nonorganic active stage before operation, and all of them received endoscopic transethmoidal decompression of the medial orbital wall combined with intramuscular orbital fat deco

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28

Sillers, Michael J., Carlos Cuilty-siller, Frederick A. Kuhn, Edward S. Porubsky, and James F. Morpeth. "Transconjunctival Endoscopic Orbital Decompression." Otolaryngology–Head and Neck Surgery 117, no. 6 (1997): S137—S141. http://dx.doi.org/10.1016/s0194-59989770082-2.

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29

Hainăroșie, Răzvan, Irina Ioniță, Cătălina Pietroșanu, Silviu Pițuru, Mura Hainăroșie, and Viorel Zainea. "Transnasal endoscopic orbital decompression." Romanian Journal of Ophthalmology 61, no. 3 (2017): 192–95. http://dx.doi.org/10.22336/rjo.2017.35.

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30

Sweeney, Adam R., Solomon S. Shaftel, Sarah M. Jacobs, and Arash Jian-Amadi. "Lateral Wall Orbital Decompression." Journal of Craniofacial Surgery 28, no. 2 (2017): 379–82. http://dx.doi.org/10.1097/scs.0000000000003299.

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31

Eing, Felipe, Christine M. Morello Abbud, and Antonio Augusto Velasco e Cruz. "Cosmetic Orbital Inferomedial Decompression." Ophthalmic Plastic and Reconstructive Surgery 28, no. 3 (2012): 204–7. http://dx.doi.org/10.1097/iop.0b013e31824dd8a0.

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32

Siracuse-Lee, Donna E., and Michael Kazim. "Orbital decompression: current concepts." Current Opinion in Ophthalmology 13, no. 5 (2002): 310–16. http://dx.doi.org/10.1097/00055735-200210000-00004.

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33

SILLERS, M., C. CUILTYSILLER, F. KUHN, E. PORUBSKY, and J. MORPETH. "Transconjunctival endoscopic orbital decompression." Otolaryngology - Head and Neck Surgery 117, no. 6 (1997): S137—S141. http://dx.doi.org/10.1016/s0194-5998(97)70082-2.

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34

Maxwell, Dawn N., Suqin Guo, Rudolph Wagner, and Anthony Caputo. "Strabismus After Orbital Decompression." Journal of American Association for Pediatric Ophthalmology and Strabismus 10, no. 1 (2006): 89. http://dx.doi.org/10.1016/j.jaapos.2006.01.183.

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35

Forest, Véronique-Isabelle, Patrick Boulos, Isabelle Hardy, and Christian Ahmarani. "Orbital Decompression: Cadaver Study." Journal of Otolaryngology 35, no. 04 (2006): 242. http://dx.doi.org/10.2310/7070.2005.0034.

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36

Kennedy, D. W., M. L. Goodstein, N. R. Miller, and S. J. Zinreich. "Endoscopic Transnasal Orbital Decompression." Archives of Otolaryngology - Head and Neck Surgery 116, no. 3 (1990): 275–82. http://dx.doi.org/10.1001/archotol.1990.01870030039006.

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37

Ben Simon, Guy J. "Minimally Invasive Orbital Decompression." Archives of Ophthalmology 123, no. 12 (2005): 1671. http://dx.doi.org/10.1001/archopht.123.12.1671.

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38

Hoffer, Michael E., and David W. Kennedy. "The Endoscopic Management of Sinus Mucoceles following Orbital Decompression." American Journal of Rhinology 8, no. 2 (1994): 61–66. http://dx.doi.org/10.2500/105065894781874476.

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Sinusitis is a reported complication after orbital decompression for endocrine ophthalmopathy. Herniation of orbital fat may lead to ostiomeatal obstruction and secondary involvement of the dependent maxillary, frontal, and ethmoid sinuses. However, the occurrence of mucoceles appears to be rare, and we were unable to identify a prior report of this condition. We present three cases of maxillary and ethmoid sinus mucoceles after transantral decompressions for orbital proptosis. All three cases subsequently underwent endoscopic sinus surgery for marsupialization of the mucoceles. The diagnosis

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39

Bonavolont, G. "Orbital decompression in hyperostotic orbital bone abnormalities." Orbit 4, no. 3 (1985): 183–88. http://dx.doi.org/10.3109/01676838509014434.

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40

Sellari-Franceschini, Stefano, Stefano Berrettini, Amelia Santoro, et al. "Orbital Decompression in Graves' Ophthalmopathy by Medial and Lateral Wall Removal." Otolaryngology–Head and Neck Surgery 133, no. 2 (2005): 185–89. http://dx.doi.org/10.1016/j.otohns.2005.02.006.

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Objective The objective of this study is to describe a technique for balanced orbital decompression and to analyze the results. Methods and Materials We conducted a retrospective study of 140 patients (276 orbits). Orbital decompression was carried out by removal of the medial orbital wall by ethmoidectomy and complete removal of the lateral wall by bringing out the entire sphenoid wing together with part of the zygomatic bone down to the inferior orbital fissure. Results One hundred thirty-six patients underwent bilateral decompression, 4 patients underwent monolateral decompression. Proptosi

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41

Wu, Pengsen, Yiheng Wu, Jing Rao, et al. "Biomechanical Analysis and Clinical Study of Augmented Versus Conventional Endoscopic Orbital Decompression for Dysthyroid Optic Neuropathy." Bioengineering 12, no. 6 (2025): 618. https://doi.org/10.3390/bioengineering12060618.

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Dysthyroid optic neuropathy (DON) represents a severe ocular complication in thyroid eye disease (TED) that can lead to vision loss. Although surgical decompression is a well-established treatment modality, the optimal decompression area remains controversial in orbital decompression surgery. Purpose: This study aims to develop and validate a finite element analysis (FEA) model of DON to compare the biomechanical behavior between patients undergoing conventional or augmented orbital decompression surgery, with potential clinical implications for surgical planning. Methods: FEA models were esta

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42

Lv, Zhigang, Dinesh Selva, Wentao Yan, Pelaez Daniel, Yunhai Tu, and Wencan Wu. "Endoscopical Orbital Fat Decompression with Medial Orbital Wall Decompression for Dysthyroid Optic Neuropathy." Current Eye Research 41, no. 2 (2015): 150–58. http://dx.doi.org/10.3109/02713683.2015.1008640.

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43

Berhouma, Moncef, Timothee Jacquesson, Lucie Abouaf, Alain Vighetto, and Emmanuel Jouanneau. "Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature." Neurosurgical Focus 37, no. 4 (2014): E19. http://dx.doi.org/10.3171/2014.7.focus14303.

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Object While several approaches have been described for optic nerve decompression, the endoscopic endonasal route is gaining favor because it provides excellent exposure of the optic canal and the orbital apex in a minimally invasive manner. Very few studies have detailed the experience with nontraumatic optic nerve decompressions, whereas traumatic cases have been widely documented. Herein, the authors describe their preliminary experience with endoscopic endonasal decompression for nontraumatic optic neuropathies (NONs) to determine the procedure’s efficacy and delineate its potential indica

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44

Korinth, M. C., M. R. Weinzierl, W. Banghard, and J. M. Gilsbach. "Extended pterional orbital decompression in severe orbital cellulitis." Acta Neurochirurgica 145, no. 4 (2003): 283–87. http://dx.doi.org/10.1007/s00701-002-1061-z.

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45

Bliss, Alessandra, Aaron Craft, Jordan Haber, et al. "Visual outcomes following orbital decompression for orbital infections." International Journal of Pediatric Otorhinolaryngology 176 (January 2024): 111824. http://dx.doi.org/10.1016/j.ijporl.2023.111824.

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46

Kasperbauer, Jan L., and Lucinda Hinkley. "Endoscopic Orbital Decompression for Graves’ Ophthalmopathy." American Journal of Rhinology 19, no. 6 (2005): 603–6. http://dx.doi.org/10.1177/194589240501900613.

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Background Graves’ ophthalmopathy generates a volume excess for the orbital cavity, which may produce proptosis, pain, exposure keratitis, diplopia, and optic neuropathy. Endoscopic orbital decompression expands the orbital cavity into the ethmoid cavity and medial maxillary sinus. This retrospective study documents the outcomes after endoscopic orbital decompression for patients with Graves’ ophthalmopathy. Methods Data collected included demographic information, symptom resolution, complications related to the surgery, reduction in proptosis, subsequent need for eye muscle surgery, and hospi

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47

Koay, Boon, Grant Bates, and John Elston. "Endoscopic orbital decompression for dysthyroid eye disease." Journal of Laryngology & Otology 111, no. 10 (1997): 946–49. http://dx.doi.org/10.1017/s0022215100139039.

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AbstractOrbital decompression for dysthyroid eye disease is traditionally performed either through an external approach or transantrally. The introduction of endoscopic sinus surgery over the last decade has led to a better understanding of the intranasal surgical landmarks of orbital walls and the development of endoscopic orbital decompression. We have adopted the endoscopic technique as the treatment of choice for orbital decompression in dysthyroid eye disease for the last two years. The surgical technique is described and illustrated, and the results of our first series of 15 patients (30

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48

Karimi, Nasser, Mohsen Bahmani Kashkouli, Mostafa Soltan Sanjari, Hamed Sianati, Maria Sharepour, and Hadi Ali. "Inadvertent inferior oblique extirpation during orbital decompression." European Journal of Ophthalmology 29, no. 4 (2018): NP13—NP15. http://dx.doi.org/10.1177/1120672118803516.

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Purpose: To report a case of inadvertent inferior oblique extirpation during orbital decompression, its management, and postoperative result. Methods: A 38-year-old female with thyroid eye disease underwent cosmetic right orbital decompression during whichinferior oblique extirpation was noticed. Result: The muscle was repaired on the same session (illustrated in the article) with no postoperative diplopia at 3-month follow-up. Conclusion: Inferior oblique injury should be considered among the uncommon yet important complications of orbital decompression. It can be easily found and repaired in

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49

Knezevic, Miroslav, Branislav Stankovic, Dejan Rasic, Milos Zarkovic, Jasmina Ciric, and Biljana Beleslin. "Orbital decompression in Graves` orbitopathy." Medical review 65, no. 5-6 (2012): 206–9. http://dx.doi.org/10.2298/mpns1206206k.

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Introduction. This paper was aimed at presenting our experience and results in the surgical management for proptosis in patients with Graves` orbitopathy. Material and Methods. This is a retrospective, interventional, non-comparative case series review. Seventeen eyes of ten patients underwent orbital decompression between 2008 and 2009. Depending on case, the surgery involved one to 3 orbital walls with or without fat removal, being approached through combined transcaruncular and lower fornix incision. Results. All the operated patients were females, their mean age being 48, with proptosis ra

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50

Block, M. S., M. F. Zide, and George Manstein. "Orbital decompression by midfacial advancement." Plastic and Reconstructive Surgery 76, no. 2 (1985): 332. http://dx.doi.org/10.1097/00006534-198508000-00049.

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