Infraorbital groove localisation for the endoscopic decompression of the orbit in Graves’ disease

Abstract

Background: The aim of our study was to determine the localisation of the inferior margin of the optic canal in relation to the infraorbital canal/groove complex (IOC/G complex) and zygomaticoorbitale (ZO) as the potential useful landmarks for reducing dangerous complications following surgical and invasive procedures.

Materials and methods: Sixty-four orbits of thirty-two human skulls were investigated. The distances between: the inferior margin of the optic canal and the posterior margin of the infraorbital groove measured at its medial border (OC-S); the inferior margin of the optic canal and the posterior margin of the roof of the infraorbital canal (OC-C); the inferior margin of the optic canal and the zygomaticoorbitale (OC-ZO) — were measured. The left/ /right symmetry ratio and the asymmetry index were counted. The symmetry between the contralateral measurements was analysed and statistical analysis was performed.

Results: On the right side the mean distance from the inferior margin of the optic canal to: the posterior margin of the infraorbital groove measured at its medial border; to the posterior margin of the roof of the infraorbital canal; and to the zygomaticoorbitale were: 23.41 ± 3.10 mm; 34.44 ± 5.30 mm; and 47.53 ± 4.13 mm, respectively. On the left side the mean distance from the inferior margin of the optic canal to: the posterior margin of the infraorbital groove measured at its medial border; to the posterior margin of the roof of the infraorbital canal; to the zygomaticoorbitale were 23.69 ± 2.80 mm; 36.75 ± 5.10 mm; 46.84 ± 3.24 mm, respectively.

Conclusions: The presented measurements may be particularly helpful for endoscopic decompression in patients with the thyroid ophthalmopathy to avoid the complications.