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  • Title: Temporal fossa orbital decompression for treatment of disfiguring thyroid-related orbitopathy.
    Author: Chang EL, Piva AP.
    Journal: Ophthalmology; 2008 Sep; 115(9):1613-9. PubMed ID: 18486219.
    Abstract:
    OBJECTIVE: To describe a technique for treating disfiguring thyroid-related orbitopathy by bony decompression into the temporal fossa and to analyze results. DESIGN: Retrospective, noncomparative case series with description of a surgical technique. PARTICIPANTS: Thirty-three consecutive patients with disfiguring thyroid-related orbitopathy undergoing decompression into the temporal fossa with the described technique. INTERVENTION: Reduction in exophthalmos by removal of the lateral orbital wall and the greater sphenoid wing using an eyelid crease approach. MAIN OUTCOME MEASURES: Amount of reduction in exophthalmos after surgery and incidence of induced postoperative diplopia. RESULTS: The average reduction in exophthalmos was 4.51 mm (range, 3-6 mm; standard deviation, +/-0.95 mm). New-onset postoperative diplopia was observed in 1 patient. CONCLUSIONS: Bony decompression of the orbit into the temporal fossa via an eyelid crease approach is an effective treatment for disfigurement in patients with thyroid-related orbitopathy and no preoperative diplopia.
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