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Endoscopic Transnasal Orbital Decompression Questions based on presentation: Choose the best answer 1. Endoscopic transnasal orbital surgery is made possible because a) The nasal sinuses are actual

How to fill out endoscopic transnasal orbital decompression

Who needs endoscopic transnasal orbital decompression?

1. Patients with a diagnosis of thyroid eye disease (TED) who have severe proptosis (bulging of the eyes) and are not responding to other treatments may benefit from endoscopic transnasal orbital decompression.
2. Patients with a history of trauma to the eye or orbit that has resulted in significant orbital congestion and pressure on the optic nerve may also require endoscopic transnasal orbital decompression.
3. Patients with benign orbital tumors or cysts that are causing significant orbital pressure and visual disturbances may also be candidates for this procedure.

How to fill out endoscopic transnasal orbital decompression:

Pre-operative evaluation:

1. Patients should have a thorough ophthalmic examination, including assessment of visual acuity, visual fields, and ocular motility.
2. Imaging studies such as CT scans or MRI may be necessary to evaluate the extent of orbital congestion and identify any structural abnormalities.
3. The patient's medical history, including any previous surgeries or complications, should be reviewed.

Informed consent:

1. The risks and benefits of endoscopic transnasal orbital decompression should be explained to the patient in detail.
2. The patient should have a clear understanding of the potential outcomes, possible complications, and the need for post-operative follow-up.

Anesthesia:

1. The patient will usually undergo general anesthesia for this procedure.
2. An anesthesiologist will be present to monitor the patient's vital signs throughout the surgery.

Surgical procedure:

1. The surgeon will make small incisions inside the nose to access the sinuses and orbital cavity.
2. Specialized endoscopic instruments will be used to remove or reposition any bones or tissues in the orbit that are causing pressure on the eye or optic nerve.
3. The surgeon may also use fat grafts or implants to restore volume and improve eye position.
4. The procedure will be customized based on the patient's specific needs and the extent of orbital congestion.

Post-operative care:

1. Patients are usually hospitalized for a few days after the procedure to monitor their recovery.
2. Pain medication, antibiotics, and corticosteroids may be prescribed to manage pain, prevent infection, and reduce inflammation.
3. Regular follow-up appointments with the surgeon will be necessary to monitor healing, assess visual function, and address any concerns or complications.

Potential risks and complications:

1. Like any surgical procedure, endoscopic transnasal orbital decompression carries risks such as bleeding, infection, and adverse reactions to anesthesia.
2. There is also a risk of damage to surrounding structures, including the optic nerve, which could lead to visual loss.
3. It's important for patients to discuss these risks with their surgeon and to carefully weigh them against the potential benefits.

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What is endoscopic transnasal orbital decompression?

Endoscopic transnasal orbital decompression is a surgical procedure used to relieve pressure or reduce bulging of the eyes in patients with thyroid eye disease.

Who is required to file endoscopic transnasal orbital decompression?

Endoscopic transnasal orbital decompression is not something that needs to be filed, it is a medical procedure performed by qualified healthcare professionals.

How to fill out endoscopic transnasal orbital decompression?

There is no form or paperwork to fill out for endoscopic transnasal orbital decompression. Patients will need to follow pre-operative and post-operative instructions provided by their healthcare provider.

What is the purpose of endoscopic transnasal orbital decompression?

The purpose of endoscopic transnasal orbital decompression is to improve eye symptoms and prevent potential complications associated with thyroid eye disease.

What information must be reported on endoscopic transnasal orbital decompression?

Information such as pre-operative evaluation, surgical technique used, intra-operative findings, and post-operative outcomes may need to be documented in the patient's medical records.