A pitfall of decompression for severe exophthalmos: Role of the posterior wall of the maxillary sinus-1

Yoshiaki Sakamoto, Hideo Nakajima, Ikkei Tamada, Shogo Kasai, Kazuo Kishi

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1 Citation (Scopus)


This report addresses a pitfall of decompression for severe exophthalmos. In mild cases, removal of the orbital floor is an effective treatment, but in severe cases, the results of this approach are sometimes unsatisfactory, and only decompression is necessary. In these cases, orbital decompression in 3 areas including the medial wall, the lateral wall, and the orbital floor is usually performed. A 5.0-mm mean reduction in exophthalmos is observed, but more reduction is difficult to achieve.We considered the possibility that removal of the posterior wall of the maxillary sinus is critically important to achieving greater recovery. It is proposed that this technique is effective in creating about 10 mm of improvement for severe exophthalmos.

Original languageEnglish
Pages (from-to)1348-1350
Number of pages3
JournalJournal of Craniofacial Surgery
Issue number4
Publication statusPublished - 2011 Jul 1



  • Exophthalmos
  • Graves disease
  • orbital decompression

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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