Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 24
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
3.
World Neurosurg ; 154: 13-20, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34245882

RESUMO

The treatment of orbital lymphaticovenous malformations (OLVMs) has evolved from simple surgical resection to a multimodal approach consisting of sclerosing agents, embolization, and resection depending on the specific components that compose the lesion. Here we present a representative case series of 5 nonconsecutive patients who underwent percutaneous embolization of OLVMs with the Onyx Liquid Embolic System (Medtronic, Dublin, Ireland) before surgical resection between 2019 and 2021. OLVMs are rare, benign, congenital lesions that grow with age and can become symptomatic and disabling. Treatment can be conservative or invasive; depending on the clinical presentation and characteristics of the lesions, treatment modalities can vary. Preoperative percutaneous embolization of OLVMs with the Onyx system is a promising technique, as demonstrated in this case series.

4.
Ophthalmic Plast Reconstr Surg ; 37(5): e155-e157, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33587418

RESUMO

Synovial sarcoma is a malignant mesenchymal tumor that most commonly occurs in the deep soft tissue of the extremities in adolescents and young adults. Primary periocular synovial sarcoma is extremely rare with only 11 previously reported cases. We describe a 23-year-old woman who presented with a 1-year history of painful, progressive right upper eyelid swelling. She was subsequently found to have a superomedial orbital mass on CT scan. Pathologic evaluation revealed a spindle cell neoplasm with SS18 (SYT) rearrangement by fluorescence in situ hybridization studies, consistent with a monophasic synovial sarcoma. This case describes the clinical, radiographic, histopathologic, and molecular cytogenetic features of this rare orbital neoplasm, with an emphasis on the emerging diagnostic techniques and novel therapies.


Assuntos
Neoplasias Ósseas , Sarcoma Sinovial , Adolescente , Adulto , Feminino , Humanos , Hibridização in Situ Fluorescente , Proteínas de Fusão Oncogênica/genética , Órbita , Sarcoma Sinovial/diagnóstico , Adulto Jovem
5.
Ophthalmic Plast Reconstr Surg ; 37(4): e136-e139, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33481539

RESUMO

Carcinosarcoma is a malignant mixed tumor composed of epithelial and mesenchymal components which arises in a variety of tissues, including, in rare cases, the orbit. A 75-year-old male with a history of basal cell carcinoma of the left medial canthus, previously treated with surgical resection and adjuvant radiation therapy, presented with a recurrent 3 cm nodule of the left medial canthus. He underwent surgical resection of the left superior and inferior eyelid with pathology revealing invasive squamous cell carcinoma of upper and lower eyelids with deep orbital tissue involvement and undifferentiated pleomorphic sarcoma involving the dermis and periosteum, consistent with carcinosarcoma. Orbital exenteration was subsequently performed. He successfully underwent adjuvant stereotactic body radiation therapy 30 Gy in 5 fractions with no significant side effects. Follow-up MRI revealed posttreatment changes without evidence of recurrent disease.


Assuntos
Carcinossarcoma , Neoplasias Cutâneas , Idoso , Carcinossarcoma/radioterapia , Carcinossarcoma/cirurgia , Humanos , Masculino , Órbita , Exenteração Orbitária , Radioterapia Adjuvante
6.
Aesthet Surg J ; 41(2): 143-151, 2021 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31974554

RESUMO

BACKGROUND: Volume loss and volume descent are complementary aspects of facial aging, although the respective contribution of each is unclear. OBJECTIVES: The aim of this study was to quantify in 3 dimensions the effects of gravity on the midface in both upright and supine positions in an older and a younger group of patients. METHODS: A prospective study was undertaken of 53 female patients who had not undergone treatment with dermal fillers or facial cosmetic surgery. Three-dimensional photography with a VECTRA H1 camera (Canfield Scientific, Fairfield, NJ) was taken in supine and sitting positions. Volume shifts and displacement of structures in 3 dimensions were measured and analyzed. RESULTS: Morphologically, upon shifting from sitting to supine position, the tail of the brow elevated, the tear trough filled, the buccal and malar fat shifted posteriosuperiorly, the earlobe decreased in height, the nasiolabial folds and marionette lines diminished, the modiolus shifted laterally, and the jowl diminished. Volumetric analysis revealed that the infraorbital region increased in volume by a mean [SD] of 0.59 [0.55] mL, the tear trough by 0.22 [0.19] mL, and the malar region by 1.2 [1.06] mL. With subjects in the supine position, all facial topographic landmarks displaced significantly from sitting position. CONCLUSIONS: Facial aging in this cohort was predominantly due to tissue descent rather than volume loss. Reversal of the gravitational force restores the 3D position of the facial subunits and leads to volumization in desirable locations that approximates a more youthful appearance. The volume restored via redistribution of facial fat is comparable to that typically injected during direct volume transfer procedures.


Assuntos
Envelhecimento , Face , Face/diagnóstico por imagem , Feminino , Gravitação , Humanos , Fotografação , Estudos Prospectivos
7.
Dermatol Surg ; 46(9): e32-e37, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31688236

RESUMO

BACKGROUND: Injectable fillers have become an integral part of facial rejuvenation, but vascular occlusion is a dreaded complication of such injections. OBJECTIVE: To determine the force required by the fingertip onto the plunger of the syringe to cause retrograde migration. METHODS: In this cadaver study, twelve 2-cm arterial segments and 4 fillers were tested. Injection pressure required to force a column of filler for 1 cm was measured. Five oculoplastics specialists were subsequently recruited and asked to inject the filler at a typical injection pressure. RESULTS: The nonhyaluronic acid filler required significantly more pressure to cause propagation of the material compared with all other fillers (p < .01). None of the other fillers differed significantly from each other. Typical injection pressures generated by experienced injectors were significantly lower than that required to cause propagation of filler at the desired velocity and significantly lower than mean arterial pressure. Measured pressure required to cause filler propagation was well within the normal range of the finger strength that can be generated by humans. CONCLUSION: Typical injection pressures from fingertip to plunger are lower than required to cause propagation of filler intravascularly.


Assuntos
Técnicas Cosméticas/efeitos adversos , Preenchedores Dérmicos/administração & dosagem , Embolia/prevenção & controle , Face/irrigação sanguínea , Artéria Oftálmica/fisiologia , Pressão Sanguínea , Cadáver , Cânula/efeitos adversos , Preenchedores Dérmicos/efeitos adversos , Preenchedores Dérmicos/química , Embolia/etiologia , Humanos , Injeções/efeitos adversos , Injeções/instrumentação , Injeções/métodos , Rejuvenescimento , Viscosidade
8.
Aesthet Surg J ; 40(9): 938-947, 2020 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-31760423

RESUMO

BACKGROUND: The tear trough is a prominent structure of the midface. Many surgical and nonsurgical techniques have been devised to efface this feature. OBJECTIVES: The aim of this study was to define an aesthetically pleasing tear trough and understand the effect of various surgical procedures on its appearance. METHODS: We undertook a retrospective review of "ideal" subjects (ie, young men and women as well as male and female models) as well as surgical patients undergoing lower blepharoplasty with fat excision, fat transposition, erbium laser resurfacing of the eyelids and midface, or endoscopic midface lifting. Marginal reflex distance-2, lower eyelid length, and nasojugal fold depth were measured and analyzed for all patients. RESULTS: The nasojugal fold was significantly less prominent in ideal female models than in all other groups (P < 0.0001). Lower eyelid length was significantly shorter after fat excisional lower blepharoplasty, laser resurfacing, and midface lift (P < 0.0001), and did not change after fat transpositional lower blepharoplasty. Postsurgical reduction in lower eyelid length was significantly less with fat transpositional lower blepharoplasty than in all other groups (P < 0.0001). The nasojugal fold was significantly effaced after all types of procedures (P < 0.0001), but was significantly more effaced after fat transpositional lower blepharoplasty (P < 0.01) than after all other procedures. CONCLUSIONS: A slight, medial tear trough is present in youth in many patients. The clinical tear trough is a virtual topographic structure distinct from the anatomic tear trough ligament and can be altered in a variety of ways.


Assuntos
Blefaroplastia , Tecido Adiposo/cirurgia , Adolescente , Pálpebras/cirurgia , Face , Feminino , Humanos , Ligamentos , Masculino , Estudos Retrospectivos
10.
J Plast Reconstr Aesthet Surg ; 72(10): 1682-1687, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31444052

RESUMO

BACKGROUND: Lower blepharoplasty is one of the commonest cosmetic surgeries performed in the United States. The delicate balance of the lower eyelid may be detrimentally altered in lower blepharoplasty, leading to lower eyelid retraction with the attendant functional and cosmetic consequences. Marginal reflex distance-2 (MRD2) is an insensitive measure for subtle lower eyelid retraction, and the MRD2 at the lateral limbus (MRD2limbus) and tarsal marginal show (TMS) may be more sensitive in identifying eyelid retraction and eversion. METHODS: This is a cohort study of consecutive patients undergoing lower blepharoplasty with skin pinch removal, laser resurfacing, or skin pinch removal with prophylactic lateral canthal resuspension. Mean follow-up was 22.1 weeks. RESULTS: There was no significant difference in MRD2 after surgery after either laser resurfacing, skin pinch, or skin pinch with canthoplasty, either after surgery or between groups. MRD2limbus was significantly increased after surgery in the skin pinch only group (p < 0.05). There was a significant difference in postoperative MRD2limbus in the skin pinch with canthoplasty group compared to that in the skin pinch only group (p < 0.05). TMS was significantly increased after both laser resurfacing (p < 0.001) and skin pinch only (p < 0.05), and both postoperative groups demonstrated significantly increased TMS compared to skin pinch with canthoplasty (p < 0.05). CONCLUSIONS: MRD2limbus and TMS are more sensitive markers for lower eyelid retraction than MRD2. Subtle eyelid retraction and eversion occur after anterior lamellar work and can be prevented with prophylactic lateral canthal resuspension.


Assuntos
Blefaroplastia/efeitos adversos , Blefaroptose/cirurgia , Entrópio/cirurgia , Pálpebras/cirurgia , Adulto , Blefaroplastia/métodos , Blefaroptose/diagnóstico , Estudos de Coortes , Entrópio/etiologia , Estética , Pálpebras/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente/estatística & dados numéricos , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/cirurgia , Estudos Retrospectivos , Medição de Risco , Cirurgia Plástica/métodos , Técnicas de Sutura , Resultado do Tratamento
12.
Aesthet Surg J ; 39(10): 1048-1054, 2019 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-30868168

RESUMO

BACKGROUND: Lower blepharoplasty is one of the most commonly performed aesthetic surgeries in the world. However, there are no studies to directly compare patients who had fat excision vs fat transposition. OBJECTIVES: The authors sought to compare and contrast aesthetic results of fat excisional and fat transpositional lower blepharoplasty. METHODS: A retrospective review was conducted of 60 patients (120 eyelids) who underwent transconjunctival lower blepharoplasty, either with fat excision or fat transposition into a preperiosteal plane. Marginal reflex distance-2, lower eyelid length, nasojugal fold depth, and pretarsal orbicularis definition were measured. RESULTS: Mean follow-up was 5.6 months. Mean marginal reflex distance-2 did not significantly differ after either fat excision or fat transposition. Mean lower lid length decreased after fat excision only (P < 0.001), and postoperative fat excision patients had a shorter lower eyelid length than patients who underwent fat transposition (13.5 ± 2.1 mm vs 16.1 ± 1.9 mm, P < 0.0001). Pretarsal orbicularis definition increased after both surgeries (P < 0.001), and the groups did not differ (1.0 ± 0.8 vs 1.1 ± 0.9, not significant). Mean nasojugal fold depth was effaced after surgery in both groups (P < 0.001), although the nasojugal fold was significantly more effaced after fat transposition (1.5 ± 0.7 vs 0.48 ± 0.6, P < 0.001). CONCLUSIONS: In lower blepharoplasty, fat excision resulted in a shorter lower eyelid, and fat transposition resulted in a more effaced lid-cheek junction. Surgeons should be able to balance both techniques to deliver a customized aesthetic result.Level of Evidence: 3.


Assuntos
Tecido Adiposo/cirurgia , Blefaroplastia/métodos , Estética , Pálpebras/anatomia & histologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Pálpebras/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
14.
Ophthalmic Plast Reconstr Surg ; 35(4): 387-398, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30601461

RESUMO

PURPOSE: To review a representative case series and share a stepwise approach to the diagnosis and treatment of periorbital venolymphatic malformations. METHODS: A case series of 9 patients with representative periorbital venolymphatic malformations. All patients managed at the University of California, Los Angeles Orbital Center for a vascular malformation over the last 5 years were reviewed. Cases representative of the varied pathologic findings and techniques were selected. The clinical, radiologic, and intraoperative findings are presented and a survey of techniques composed. RESULTS: Venolymphatic malformations can have protean manifestations. Characteristics vital to the understanding and management of these lesions are the classification and vascular composition of the lesion, internal flow and drainage patterns, anatomic localization and association with distant components. Options for treatment include sclerotherapy, biologic therapy, embolization, surgical excision, or some combination thereof. CONCLUSIONS: A comprehensive understanding of each patient's unique lesion is critical to a rational treatment approach. Teamwork and creativity are key to effectively managing these lesions.


Assuntos
Fatores Biológicos/uso terapêutico , Embolização Terapêutica/métodos , Vasos Linfáticos/anormalidades , Procedimentos Cirúrgicos Oftalmológicos/métodos , Órbita/irrigação sanguínea , Escleroterapia/métodos , Malformações Vasculares/terapia , Adulto , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Malformações Vasculares/diagnóstico , Adulto Jovem
15.
Ophthalmic Plast Reconstr Surg ; 35(1): 17-21, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29879083

RESUMO

PURPOSE: To test the hypothesis that the orbit expands in the cranial vault after wide dural exposure after minimally invasive extradural transorbital decompression for thyroid eye disease. METHODS: A cross-sectional cohort study of 36 patients (60 orbits). Preoperative and postoperative (6 months) orbital CT following extradural transorbital decompression was analyzed. Primary outcome measure was the percentage area of the cranial vault occupied by orbital and brain tissue in a predefined window before and after surgery. Secondary outcome measures were displacement of the anteriormost aspect of the temporal lobe, reduction in clinical proptosis, change in clinical activity score, and change in diplopia. RESULTS: The mean percentage of the selected area of the cranial vault preoperatively was 0% orbital and 44% ± 15% brain tissue, compared with 70% ± 16% orbital and 28% ± 14% brain tissue postoperatively (p < 0.001). Posterior movement of the brain was demonstrated in 59 of 60 orbits, with a mean displacement of 2.0 mm ± 1.3 mm (p < 0.001). Mean proptosis reduction was 11.2 mm ± 3.6 mm (p < 0.001). The proportion of patients with clinical activity score <3 compared with clinical activity score ≥3 was not significantly different after surgery (p = 0.163). Improved diplopia was noted in 5 patients (14%), and worsening diplopia was noted in 3 patients (8%), although these changes were not significant (p = 0.772). Intraoperative dural tear with cerebrospinal fluid leak was reported in 2 orbits (3%), which was successfully managed with fibrin glue, with no sequelae. No other complications were noted, including infection, spontaneous orbital pulsations, postoperative hemorrhage (intracranial or intraorbital), or reactivation of disease. CONCLUSION: With wide exposure of the middle cranial fossa dura following extradural transorbital decompression, orbital tissue typically expands in the cranial vault.


Assuntos
Descompressão Cirúrgica/efeitos adversos , Diplopia/etiologia , Exoftalmia/etiologia , Oftalmopatia de Graves/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Órbita/cirurgia , Complicações Pós-Operatórias/etiologia , Adulto , Idoso , Estudos Transversais , Descompressão Cirúrgica/métodos , Diplopia/diagnóstico , Exoftalmia/diagnóstico , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Acuidade Visual , Adulto Jovem
16.
Ann Plast Surg ; 81(3): 372-379, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29851726

RESUMO

BACKGROUND: Orbital fractures are one of the most common sequelae of facial trauma. OBJECTIVE: The objective of this study was to summarize published data for resorbable implants in orbital reconstruction, including polymer composition, degradation characteristics, osteoconductivity, and complications such as enophthalmos, diplopia, and peri-implant inflammation. A literature search of the National Library of Medicine was performed via PubMed using the keyword resorbable orbital implant. A total of 27 studies were reviewed. Strength of data was assessed according to the Oxford Centre criteria. RESULTS: Most commercially available implants provide adequate tensile strength for up to 6 months (with the exception of polydioxanone, which loses strength within 1 month, and poly(D,L-lactide) within 3 months). This is sufficient for the isolated orbital floor or medial wall (tensile strength, ~300 MPa) but insufficient for reconstruction of load-bearing areas (eg, the inferior orbital rim with tensile strength of ~1.2 GPa). Thicker products (>1 mm) have increased risk for delayed inflammation than thinner products. Postoperative complications including delayed inflammation (0%-9%), eyelid malposition (0%-5%), enophthalmos (5%-16%), diplopia (0%-16%), infection (0%-2%), and infraorbital nerve hypesthesia (2%-18%) are variably distributed across implants with several notable exceptions: poly(L-lactide) has an increased risk of delayed inflammation, and polydioxanone has a risk of delayed enophthalmos and hematoma. CONCLUSIONS: Resorbable implants are suitable for isolated medial wall or floor fractures with intact bony buttresses and function as a barrier rather than a load-bearing support.


Assuntos
Implantes Absorvíveis , Fixação Interna de Fraturas/instrumentação , Fraturas Orbitárias/cirurgia , Implantes Orbitários , Fixação Interna de Fraturas/métodos , Humanos , Resultado do Tratamento
17.
Ophthalmic Plast Reconstr Surg ; 34(4): e108-e110, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29547471

RESUMO

The authors herein describe a case of orbital and ocular ischemic syndrome with blindness after cosmetic hyaluronic acid filler injection. Orbital function, but not visual function, returned after treatment with orbital hyaluronidase and corticosteroids.


Assuntos
Cegueira/induzido quimicamente , Técnicas Cosméticas/efeitos adversos , Preenchedores Dérmicos/efeitos adversos , Ácido Hialurônico/efeitos adversos , Neuropatia Óptica Isquêmica/induzido quimicamente , Humanos , Injeções Subcutâneas , Masculino , Adulto Jovem
18.
Asia Pac J Ophthalmol (Phila) ; 7(2): 90-94, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29480654

RESUMO

PURPOSE: To evaluate the long-term results of lateral canthal resuspension over time. DESIGN: A cohort study of adults (n = 25, 45 eyelids) undergoing lateral canthal resuspension. METHODS: Marginal reflex distance 2 (MRD2), inferior scleral show, lateral canthal height, lateral canthal angle, horizontal palpebral aperture, and lateral scleral triangle area were measured preoperatively and at postoperative week 1, month 3, and the final follow-up visit. RESULTS: Minimum follow-up time was 6 months (mean, 15.1 months). At the final follow-up visit, MRD2 decreased by 0.41 ± 0.14 mm, inferior scleral show decreased by 0.27 ± 0.05 mm, and lateral canthal height increased by 0.81 ± 0.15 mm. The overall function of time was found to be significant for change in MRD2 (P < 0.01). In multiple comparisons, all time point values were significantly different from one another (Bonferroni corrected, P < 0.05), except for 3 months and the final position, which were not. Similarly, the overall effect of time on lateral canthus position was also significant (P < 0.01). All time points were significantly different from one another (Bonferroni corrected, P < 0.05). The overall effect of time on inferior scleral show was also significant (P < 0.01). Differences were significant from preoperative to final postoperative position, although the other time points were not significant (Bonferroni corrected, P < 0.05). No complications were noted. CONCLUSIONS: Minimally invasive lateral canthal resuspension provides durable, albeit modest, improvements in MRD2, inferior scleral show, and lateral canthal height without significantly changing lateral canthal angle, horizontal palpebral aperture, or lateral scleral triangle area.


Assuntos
Blefaroplastia/métodos , Ectrópio/cirurgia , Entrópio/cirurgia , Pálpebras/cirurgia , Doenças do Aparelho Lacrimal/cirurgia , Aparelho Lacrimal/cirurgia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
19.
Ophthalmic Plast Reconstr Surg ; 34(5): 456-459, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29334542

RESUMO

PURPOSE: To study whether ethmoidectomy predisposes the orbit to medial wall fracture with lesser trauma. METHODS: An interventional cadaver study of 5 heads (10 orbits); the left or right orbit was randomized to undergo endoscopic complete ethmoidectomy with the fellow orbit as control. Fractures were induced with direct globe trauma, and heads underwent CT scanning. Energy to induce fracture, peak orbital pressure at time of fracture, fracture pattern, and volume of herniated tissue were measured and analyzed. RESULTS: Fractures were induced in both orbits of all cadavers. Experimental orbits after ethmoidectomy sustained orbital fracture at less energy required (2.14 ± 0.66 vs. 3.10 ± 0.19 J, mean difference: -0.96 ± 0.33 J, p < 0.05). Similarly, peak orbital pressure was lower for ethmoidectomized orbits than for controls (11.8 ± 8.42 vs. 28.4 ± 13.2 mm Hg, mean difference: -16.5 ± 6.9 mm Hg, p < 0.05). Orbits after ethmoidectomy were more likely to sustain medial wall involvement in fracture (100%) compared with controls (20%, p < 0.05) and pure medial wall fracture (80%) compared with controls (0%, p < 0.05). Overall volume of herniated orbital contents was not significantly different between groups (p = 0.25); volume of herniated tissue from the medial wall only was significantly greater in orbits after ethmoidectomy (mean difference: 1.01 ± -0.39 cm, p < 0.05). CONCLUSION: Endoscopic ethmoidectomy in fresh cadavers reduces impact energy necessary to induce orbital fracture and increases the prevalence of medial wall involvement. Clinicians may wish to counsel patients undergoing endoscopic sinus surgery about these relative risks.


Assuntos
Seio Etmoidal/cirurgia , Procedimentos Cirúrgicos Oftalmológicos/efeitos adversos , Fraturas Orbitárias/fisiopatologia , Cadáver , Humanos , Masculino
20.
Ophthalmic Plast Reconstr Surg ; 34(6): 533-535, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29373405

RESUMO

PURPOSE: To report on 2 cases of late bony regrowth with clinically apparent proptosis after deep lateral orbital decompression for thyroid orbitopathy. METHODS: A retrospective review of 2 cases identified by the authors as having late bony regrowth. The authors review the clinical, historical, radiologic, and anatomical findings and discuss the significance thereof. RESULTS: Bony regrowth with bowing toward the middle cranial fossa is observed at postoperative month 8 in the first case. Cortical bone and marrow was observed to regrow at 2 years postoperatively in the second case. Both patients underwent successful repeat deep lateral orbital decompression with resolution of proptosis and clinical symptoms. CONCLUSIONS: Late bony regrowth should be considered as a possible cause of recurrent proptosis after orbital decompression in thyroid eye disease.


Assuntos
Descompressão Cirúrgica/efeitos adversos , Oftalmopatia de Graves/cirurgia , Órbita/patologia , Doenças Orbitárias/etiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...