{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T23:02:30Z","timestamp":1776812550465,"version":"3.51.2"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,4,17]],"date-time":"2015-04-17T00:00:00Z","timestamp":1429228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To analyze the clinical outcomes for a large cohort of patients who underwent orbital decompression for thyroid eye disease (TED) utilizing a consistent surgical approach performed by a single surgical team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical data were gathered for patients who had undergone surgical decompression for TED. Outcomes analysis included reduction in proptosis (millimeters, Hertel measurements), visual acuity change (Snellen chart), diplopia (new or worsening), and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients underwent a combined endoscopic transnasal (medial) and transconjunctival (inferior\/lateral) approach. A total of 114 surgeries (orbits) were performed on 77 patients during the period 2002 to 2013. Average follow\u2010up was 31.3 months (range, 1\u2013126 months). At last follow up, mean reduction in proptosis across all patients was 3.2 mm (range, 0\u20139 mm). Postoperatively, no patients reported new diplopia, whereas two patients reported worsening of their existing diplopia (3.8%). Decompression was performed for proptosis in 62 patients (91 orbits), and for compressive optic neuropathy (CON) in 15 patients (23 orbits). When performed for proptosis, mean reduction in proptosis was 3.4 mm. Vision was maintained or improved in all patients, including those presenting with CON.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Analysis of outcomes in this large cohort showed no new cases of diplopia and only two cases of worsening diplopia balanced with a mean reduction in proptosis consistent with previously reported series. In addition, we demonstrate excellent results stratified by clinical indication (proptosis vs. CON). These results validate the combined endoscopic\u2013transconjunctival approach to orbital decompression for patients with symptomatic TED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 125:2034\u20132040, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25320","type":"journal-article","created":{"date-parts":[[2015,4,17]],"date-time":"2015-04-17T17:48:49Z","timestamp":1429292929000},"page":"2034-2040","source":"Crossref","is-referenced-by-count":60,"title":["Orbital decompression for the management of thyroid eye disease: An analysis of outcomes and complications"],"prefix":"10.1002","volume":"125","author":[{"given":"Todd T.","family":"Kingdom","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of Colorado School of Medicine Aurora Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett W.","family":"Davies","sequence":"additional","affiliation":[{"name":"Oculoplastic &amp; Reconstructive Surgery, San Antonio Military Medical Center San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram D.","family":"Durairaj","sequence":"additional","affiliation":[{"name":"Texas Oculoplastics Consultants Austin Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-200007000-00004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)01068-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.IOP.0000056145.71641.F5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199104000-00004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20213"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.149302"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2013.851707"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199203000-00005"},{"key":"e_1_2_7_10_1","first-page":"252","article-title":"Endoscopic orbital decompression with preservation of an inferomedial bony strut: minimization of postoperative diplopia","volume":"28","author":"Wright ED","year":"1999","journal-title":"J Otolaryngol"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181a424cc"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870030039006"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00533-9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100139313"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"832","DOI":"10.3928\/1542-8877-19971001-08","article-title":"Maximal, three\u2010wall, orbital decompression through a coronal approach","volume":"28","author":"Goldberg RA","year":"1997","journal-title":"Ophthal Surg Lasers"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)73194-0"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/02713683.2012.713154"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/105072504774193221"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2012.0272"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181df6a87"},{"key":"e_1_2_7_21_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3928\/0191-3913-20040701-09","article-title":"Incidence and treatment of diplopia after three\u2010wall orbital decompression in Graves' ophthalmopathy","volume":"41","author":"Russo V","year":"2004","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.61"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.02.006"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(93)31589-7"},{"key":"e_1_2_7_25_1","first-page":"1649","article-title":"Is incidence of diplopia after fat removal orbital decompression a predictive factor of choice of surgical technique for Graves' ophthalmopathy?","volume":"187","author":"Adenis JP","year":"2003","journal-title":"Bull Acad Natl Med"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25320","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25320","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T03:49:41Z","timestamp":1696391381000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,17]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1002\/lary.25320"],"URL":"https:\/\/doi.org\/10.1002\/lary.25320","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,17]]}}}