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Endoscopic Transnasal Orbital Decompression

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Micro-endoscopic Surgery of the Paranasal Sinuses and the Skull Base

Abstract

Dysthyroid orbitopathy, also known as Graves’ ophthalmopathy, is an autoimmune disorder characterized by the deposition of anti-thyroglobulin immune complexes in the extraocular muscles [1, 18, 19, 28]. The immune complexes induce an inflammatory response that results in fibrosis, edema and hypertrophy of the extraocular muscles and orbital fat. Furthermore, stimulation of myogenous fibroblast activity results in orbital volume, manifested primarily as proptosis. Given the relatively small volume of the orbit (26 cm3), an increase of only 4 cm3 of orbital volume (16%) will result in 6 mm of Proptosis [10].

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Authors
  1. Peter H. Hwang
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  2. David W. Kennedy
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Editor information

Editors and Affiliations

  1. Rua Afonso Braz 525 - Cj 13, 04511-010, SĂŁo Paulo, Brazil

    Aldo Cassol Stamm M.D. (Director of ENT SĂŁo Paulo Center) (Director of ENT SĂŁo Paulo Center)

  2. Kopf-, Hals- und Plastische Gesichtschirurgie Klinikum Fulda, Pacelli-Allee 4, 36043, Fulda, Germany

    Wolfgang Draf M.D. FRCS (Direktor der Klinik fĂĽr Hals-Nasen-Ohren-Krankheiten) (Direktor der Klinik fĂĽr Hals-Nasen-Ohren-Krankheiten)

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© 2000 Springer-Verlag Berlin Heidelberg

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Hwang, P.H., Kennedy, D.W. (2000). Endoscopic Transnasal Orbital Decompression. In: Stamm, A.C., Draf, W. (eds) Micro-endoscopic Surgery of the Paranasal Sinuses and the Skull Base. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57153-4_36

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  • DOI: https://doi.org/10.1007/978-3-642-57153-4_36

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63069-9

  • Online ISBN: 978-3-642-57153-4

  • eBook Packages: Springer Book Archive

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