medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2016-18-133-136medsovet-1500Research ArticleДиссертантDissertatorsБалансная декомпрессия орбиты при эндокринной офтальмопатии. Первый опытBalance decompression of orbit at endocrine ophthalmopathy. First experienceКочетковП. А.KochetkovP. A.

к.м.н.

PhD in medicine

СвистушкинВ. М.SvistushkinV. M.

д.м.н., профессор

MD

ГрушаЯ. О.GrushaY. O.

д.м.н., профессор

MD

Клиника болезней уха, горла и носа, Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава РоссииРоссияClinics of Ear, Throat and Nose Diseases of the Sechenov First Moscow State Medical University of the Ministry of Health of RussiaRussian FederationНаучно-исследовательский институт глазных болезней, МоскваРоссияScientific and Research Institute of Eye DiseasesRussian Federation201630122016018133136Copyright © Кочетков П.А., Свистушкин В.М., Груша Я.О., 20162016Кочетков П.А., Свистушкин В.М., Груша Я.О.Kochetkov P.A., Svistushkin V.M., Grusha Y.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1500

В публикации представлена методика комбинированного подхода к декомпрессии орбиты при эндокринной офтальмопатии. Проведен анализ собственных результатов хирургических вмешательств на орбите с резекцией ее костных стенок. Пациентам выполнялась трансэтмоидальная декомпрессия орбиты эндоназальным доступом и резекция латеральной орбитальной стенки наружным доступом. Проанализированы техника операций, особенности послеоперационного ведения пациентов и результаты лечения. Продемонстрирована высокая эффективность комбинированного хирургического подхода к декомпрессивным операциям на орбите в отношении регресса экзофтальма. 

The publication presents the methodology of the combined approach to decompression of the orbit in the endocrine ophthalmopathy. The analysis of our own results of surgical interventions on the orbit was performed by resection of its bone walls. Patients underwent transethmoidal decompression of the orbit by endonasal access and resection of the lateral orbital wall by the external access. The technique of operations, postoperative patient management and treatment outcomes were analyzed. The study showed high efficacy of a combined surgical approach to decompression operations on the orbit in relation to the exophthalmos regression. 

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The authors declare that there are no conflicts of interest present.