Technique for modified transantral orbital decompression for improved cosmesis in stable thyroid eye disease

Abstract

Functional and aesthetic rehabilitation of exophthalmos in stable thyroid eye disease (TED) can be achieved with a variety of surgical approaches. This article illustrates modifications of the classic transantral technique to provide a graded orbital decompression and achieve improved cosmesis. A retrospective chart review was performed of stable TED patients who elected to undergo the modified transantral decompression; illustrative cases are described. This modified transantral orbital decompression allows for graded orbital decompression surgery, adding to the range of treatment options for stable TED patients.

Keywords: Graves ophthalmopathy; cosmetic reconstructive surgery; exophthalmos; ophthalmologic surgical procedure; orbital decompression; proptosis; surgical decompression; surgical technique; thyroid eye disease; thyroid-associated ophthalmopathies; transantral.