Mount Sinai Otolaryngology Surgical Series: Orbital Decompression for Graves Disease

Mount Sinai Otolaryngology Surgical Series: Orbital Decompression for Graves Disease

Graves disease is an autoimmune condition where antibodies made from the patient’s body inappropriately stimulate receptors on the thyroid gland, leading to hyperthyroidism, and in the tissue behind the eye, causing the eyes to look rather prominent and stick out (“Graves ophthalmopathy” or “thyroid eye disease”). While medications can be used to control certain aspects of hyperthyroidism, Graves disease that is uncontrolled may require thyroidectomy. Patients with noticeable eye disease, dry eyes, or vision loss are good candidates for orbital decompression. Together with an oculoplastic surgeon, Mount Sinai sinus doctors are able to remove the medial wall of the orbit (eye socket) so that the eye can relax back into its proper place. This minimally invasive approach is performed largely through the nose, and there are no external incisions. It is very effective for solving a Graves disease patient’s eye-related issues when performed early enough.

For more information, go to:
https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy
https://www.mountsinai.org/health-library/diseases-conditions/graves-disease#:~:text=Graves%20disease%20is%20an%20autoimmune,system%20mistakenly%20attacks%20healthy%20tissue

Featured Faculty

Satish Govindaraj, MD
Chief of Rhinology; Vice Chair of Clinical Affairs, Department of Otolaryngology – Head and Neck Surgery
Mount Sinai Health System
Associate Professor, Otolaryngology, and Neurosurgery
Icahn School of Medicine at Mount Sinai

Daniel Alicea Delgado, MD
Assistant Professor, Department of Otolaryngology-Head and Neck Surgery
Mount Sinai Health System

Anthony Del Signore, MD, PharmD
Assistant Professor, Otolaryngology
Mount Sinai Health System
Director of Rhinology and Endoscopic Skull Base Surgery
Mount Sinai Union Square

Alfred M.C. Iloreta, Jr., MD
Assistant Professor, Otolaryngology, Neurosurgery
The Mount Sinai Hospital
New York Eye and Ear Infirmary of Mount Sinai
Mount Sinai Morningside and Mount Sinai West

Madeleine R. Schaberg, MD
Assistant Professor, Otolaryngology
Mount Sinai Health System
Director, Rhinology and Skull Base Surgery
New York Eye and Ear Infirmary of Mount Sinai

Calvin Wei, MD
Assistant Professor, Department of Otolaryngology-Head and Neck Surgery
Mount Sinai Health System

Zachary G. Schwam, MD
Assistant Professor, Department of Otolaryngology-Head and Neck Surgery
Division of Otology-Neurotology, Lateral Skull Base Surgery
Mount Sinai Health System


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