[sutan351]

#1059054

Went to see my new Orbital and Oculo-Facial Surgeon Today…..I’m a little off the charts in next steps and he’s suggesting something I’m not familiar with, but researching…..

Caldwell-Luc, Transantral Maxillary Approach to Orbital Decompression.

Anyone familiar with this technique? Goes through the mouth to reach the orbit floor. My measurements are not extreme 21-23mm (depending on day), he would like to bring back 3mm, before proceeding with my lids. He says this bone can’t be reached by going through the eyes.

This is an older method, but my surgeon is fairly young (12 years practice), from what I read on medical journals/sites this method is still being used today. I haven’t been to any of the conferences, so maybe it’s something that
was discussed there.

Like the idea of no eye swelling/bruising – but tradeoff lip numbness and pureed foods for a week plus.

[Kimberly]

#1171832

Hello – I’ve been attending conferences since 2008, but haven’t heard this technique mentioned. I did find one reference online, but you have to pay to see more than just the abstract:

(Note on links: if you click directly on the following link, you will need to use your browser’s “back” button to return to the boards after viewing. As an alternative, you can right-click the link and open it in a new tab or new window).

http://www.sciencedirect.com/science/article/pii/S104318109680042X

Wishing you all the best!

[snelsen]

#1171833

It is a very old procedure for sinus problems, sinusitus. An ENT (ear nose throat are usually the docs who do it.) There is a reference in this site that states a decompression is one of the indications for it.
When I had my OD, the eye surgeon did the lateral and superior wall, and the ENT doc did the medial wall. The procedures for OD vary, depending on the part of the country you live, and even more, where the doctors trained.

http://www.nyee.edu/ent_rss_sts_caldluc01.html

[sutan351]

#1171834

Thanks Kimberly and Shirley for your responses.

I’ve already had bilateral 3-wall decompression. But in this Drs. opinion it was not as aggressive as it could have been. My hertel measurements are around 21-23 (depending on the day and whose is doing the measurements)

This Surgeon like I said is fairly young and referred to often my other Drs. A surgeons surgeon! He is either that good or way out of the loop and I want to hope he’s that good! My situation is definitely an outlier ….not the typical ‘in the box’ steps of OD, Strabismus and Lids.

He’s suggesting this procedure to get at the back Orbital bone that can’t be accessed from the eyes. The whole idea makes me a little squeamish, but than again I like the idea of no eye swelling, bruising or stitches! He also feels by decompressing my eyes 3mm (in his estimate) it will make the lids upper and R. Lower lid lag easier to fix.

Shirley…..I’ve been thinking of you and know you had that graft from your mouth late last year. Was that a similar procedure? Or did they just take skin? Are you healing Ok?

I also searched the web for this procedure and found someone on forum mention it a few years back. I need to find that name again and send a PM and hope they respond. I just think it’s odd that none of the Drs. at the conferences are talking about this procedure. This surgeon is not an ENT he is a M.D,, FACS – Orbital and Oculo-Facial Plastic and Reconstructive Surgeon.

All these difference opinions make it even more confusing!

Thanks for listening….
Sandy

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