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Sinonasal complications associated with endoscopic orbital decompression
OBJECTIVE: Characterize sinonasal complications associated with endoscopic orbital decompression for thyroid eye disease (TED). METHODS: Retrospective analysis of patients who underwent endoscopic orbital decompression at Houston Methodist Hospital by two otolaryngologists and one ophthalmologist be...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883623/ https://www.ncbi.nlm.nih.gov/pubmed/33614932 http://dx.doi.org/10.1002/lio2.531 |
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author | Suresh, Rishi Soparkar, Charles N. Alford, Eugene L. |
author_facet | Suresh, Rishi Soparkar, Charles N. Alford, Eugene L. |
author_sort | Suresh, Rishi |
collection | PubMed |
description | OBJECTIVE: Characterize sinonasal complications associated with endoscopic orbital decompression for thyroid eye disease (TED). METHODS: Retrospective analysis of patients who underwent endoscopic orbital decompression at Houston Methodist Hospital by two otolaryngologists and one ophthalmologist between May 2016 and February 2020 for TED. Patient ethnicity, age, laterality, operative approach (middle turbinectomy vs middle turbinate sparing), and history of prior sinusitis were collected. RESULTS: One hundred and forty‐five orbital decompressions met the inclusion criteria. Postoperative obstructive sinusitis where herniated orbital fat caused obstruction of the sinus ostium occurred in 5.5% of operations. Patients who had a prior history of sinusitis were more likely to develop postoperative obstructive sinusitis (P = .02). The middle turbinectomy approach was more likely to show a reduced incidence of postoperative sinusitis (P = .014). CONCLUSION: Given the increased difficulty of managing sinonasal complications in the context of a decompressed orbit, efforts should be made to identify factors that might reduce the incidence of postoperative endonasal complications. The current study suggests that resection of the middle turbinate may allow for increased space for orbital fat herniation and lead to a decreased incidence of postoperative obstructive sinusitis. LEVEL OF EVIDENCE: IV. |
format | Online Article Text |
id | pubmed-7883623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78836232021-02-19 Sinonasal complications associated with endoscopic orbital decompression Suresh, Rishi Soparkar, Charles N. Alford, Eugene L. Laryngoscope Investig Otolaryngol Allergy, Rhinology, and Immunology OBJECTIVE: Characterize sinonasal complications associated with endoscopic orbital decompression for thyroid eye disease (TED). METHODS: Retrospective analysis of patients who underwent endoscopic orbital decompression at Houston Methodist Hospital by two otolaryngologists and one ophthalmologist between May 2016 and February 2020 for TED. Patient ethnicity, age, laterality, operative approach (middle turbinectomy vs middle turbinate sparing), and history of prior sinusitis were collected. RESULTS: One hundred and forty‐five orbital decompressions met the inclusion criteria. Postoperative obstructive sinusitis where herniated orbital fat caused obstruction of the sinus ostium occurred in 5.5% of operations. Patients who had a prior history of sinusitis were more likely to develop postoperative obstructive sinusitis (P = .02). The middle turbinectomy approach was more likely to show a reduced incidence of postoperative sinusitis (P = .014). CONCLUSION: Given the increased difficulty of managing sinonasal complications in the context of a decompressed orbit, efforts should be made to identify factors that might reduce the incidence of postoperative endonasal complications. The current study suggests that resection of the middle turbinate may allow for increased space for orbital fat herniation and lead to a decreased incidence of postoperative obstructive sinusitis. LEVEL OF EVIDENCE: IV. John Wiley & Sons, Inc. 2021-01-29 /pmc/articles/PMC7883623/ /pubmed/33614932 http://dx.doi.org/10.1002/lio2.531 Text en © 2021 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC. on behalf of The Triological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Allergy, Rhinology, and Immunology Suresh, Rishi Soparkar, Charles N. Alford, Eugene L. Sinonasal complications associated with endoscopic orbital decompression |
title | Sinonasal complications associated with endoscopic orbital decompression |
title_full | Sinonasal complications associated with endoscopic orbital decompression |
title_fullStr | Sinonasal complications associated with endoscopic orbital decompression |
title_full_unstemmed | Sinonasal complications associated with endoscopic orbital decompression |
title_short | Sinonasal complications associated with endoscopic orbital decompression |
title_sort | sinonasal complications associated with endoscopic orbital decompression |
topic | Allergy, Rhinology, and Immunology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883623/ https://www.ncbi.nlm.nih.gov/pubmed/33614932 http://dx.doi.org/10.1002/lio2.531 |
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