gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Decision-orientated strategies on space-occupying orbital lesions

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno088

DOI: 10.3205/09hno088, URN: urn:nbn:de:0183-09hno0888

Veröffentlicht: 22. Juli 2009

© 2009 Guthoff.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Decisions in orbital disease management are based on

  • medical history
  • clinical presentation and
  • well selected imaging techniques.

In this framework watchfull waiting, conservative treatment (partly to verify diagnosis in question “ex juvantibus”), incisional and excisional surgical techniques have to be evaluated to optimize patient care.

Most relevant differential diagnosis include pseudoexphthalmus, various types of vascular exophthalmus, expanding orbital lesions which are attempted to be surgically treated and hopefully healed, infiltrative lesions mostly need incisional biopsy, myogenic lesions mainly caused by thyroid associated orbitopathy are treated according to their seriousness from lid-, muscle- and bony orbital decompression surgery.

Treatment strategies are nearly always based on interdisciplinary communication to achieve optimal results.