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Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience
Ferreira, Marcus Castro; Tuma Júnior, Paulo; Costa, Márcio Paulino; Bloise, Walter; Alves, Carlos Alberto Rodrigues.
Affiliation
  • Ferreira, Marcus Castro; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Division of Plastic Surgery. São Paulo. BR
  • Tuma Júnior, Paulo; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Division of Plastic Surgery. São Paulo. BR
  • Costa, Márcio Paulino; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Division of Plastic Surgery. São Paulo. BR
  • Bloise, Walter; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Division of Plastic Surgery. São Paulo. BR
  • Alves, Carlos Alberto Rodrigues; University of Säo Paulo. Faculty of Medicine. Hospital das Clínicas. Division of Plastic Surgery. São Paulo. BR
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo ; 57(5): 217-222, Sept.-Oct. 2002. ilus
Article in En | LILACS | ID: lil-325553
Responsible library: BR1.1
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 percent).

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:

Subject(s)
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Full text: 1 Index: LILACS Main subject: Orbit / Adipose Tissue / Graves Disease Limits: Adult / Female / Humans Language: En Journal: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Journal subject: MEDICINA Year: 2002 Type: Article
Fulltext
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Full text: 1 Index: LILACS Main subject: Orbit / Adipose Tissue / Graves Disease Limits: Adult / Female / Humans Language: En Journal: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Journal subject: MEDICINA Year: 2002 Type: Article