Endoscopic Orbital Decompression for Thyroid Eye Disease

This article will cover the latest developments in endoscopic management of thyroid eye disease while reviewing the pathophysiology of the disease, patient selection, proper surgical technique, postoperative outcomes, and complications.Recent FindingsEndoscopic surgeons have modified the technique over the past several years in order to reduce the incidence of certain complications, in particular diplopia. The implementation of “balanced” decompression, along with preservation of orbital struts and/or periorbital slings, has improved postoperative outcomes.SummaryEndoscopic orbital decompression remains a safe and effective surgical option for TED best applied in conjunction with inferior and lateral approaches. Working closely with the oculoplastics team to effect a balanced decompression most often yields the best outcomes.

Source: Current Otorhinolaryngology Reports - April 16, 2019 Category: ENT & OMF Source Type: research