Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience

Detalhes bibliográficos
Autor(a) principal: Ferreira,Marcus Castro
Data de Publicação: 2002
Outros Autores: Tuma Jr.,Paulo, Costa,Márcio Paulino, Bloise,Walter, Alves,Carlos Alberto Rodrigues
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Hospital das Clínicas
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000500005
Resumo: PURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.
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spelling Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experienceEndocrine exophthalmosTranspalpebral surgeryOrbital fatPURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.Faculdade de Medicina / Universidade de São Paulo - FM/USP2002-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000500005Revista do Hospital das Clínicas v.57 n.5 2002reponame:Revista do Hospital das Clínicasinstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0041-87812002000500005info:eu-repo/semantics/openAccessFerreira,Marcus CastroTuma Jr.,PauloCosta,Márcio PaulinoBloise,WalterAlves,Carlos Alberto Rodrigueseng2002-11-13T00:00:00Zoai:scielo:S0041-87812002000500005Revistahttp://www.scielo.br/rhcPUBhttps://old.scielo.br/oai/scielo-oai.php||revista.hc@hcnet.usp.br1678-99030041-8781opendoar:2002-11-13T00:00Revista do Hospital das Clínicas - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
title Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
spellingShingle Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
Ferreira,Marcus Castro
Endocrine exophthalmos
Transpalpebral surgery
Orbital fat
title_short Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
title_full Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
title_fullStr Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
title_full_unstemmed Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
title_sort Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
author Ferreira,Marcus Castro
author_facet Ferreira,Marcus Castro
Tuma Jr.,Paulo
Costa,Márcio Paulino
Bloise,Walter
Alves,Carlos Alberto Rodrigues
author_role author
author2 Tuma Jr.,Paulo
Costa,Márcio Paulino
Bloise,Walter
Alves,Carlos Alberto Rodrigues
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Ferreira,Marcus Castro
Tuma Jr.,Paulo
Costa,Márcio Paulino
Bloise,Walter
Alves,Carlos Alberto Rodrigues
dc.subject.por.fl_str_mv Endocrine exophthalmos
Transpalpebral surgery
Orbital fat
topic Endocrine exophthalmos
Transpalpebral surgery
Orbital fat
description PURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery). The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.
publishDate 2002
dc.date.none.fl_str_mv 2002-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000500005
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000500005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0041-87812002000500005
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Medicina / Universidade de São Paulo - FM/USP
publisher.none.fl_str_mv Faculdade de Medicina / Universidade de São Paulo - FM/USP
dc.source.none.fl_str_mv Revista do Hospital das Clínicas v.57 n.5 2002
reponame:Revista do Hospital das Clínicas
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista do Hospital das Clínicas
collection Revista do Hospital das Clínicas
repository.name.fl_str_mv Revista do Hospital das Clínicas - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revista.hc@hcnet.usp.br
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