Customized, Single-Incision, Three-Wall Orbital Decompression

Abstract

We find that a customized, single-incision, 3-wall orbital decompression provides adequate decompression and proptosis reduction while minimizing postoperative strabismus and providing an aesthetically desirable result.

How predictable is exophthalmos reduction in Graves' orbitopathy? A review of the literature

“…Bailey et al performed a three-wall orbital decompression with preservation of the inferomedial orbital strut via ‘swinging eyelid’ approach in a group of 55 patients with GO (figure 1, M, F, L and dL) 51. The majority of patients were treated for disfiguring exophthalmos with some degree of exposure-related symptoms (83%).…”

Measurement of width and distance of the posterior border of the deep lateral orbital wall using computed tomography

“…The true appearance of the posterior border of the deep lateral orbital wall has not been revealed in cadavers or living patients during surgery. During surgery, it is difficult to directly observe the appearance of the posterior border because the bone marrow of the deep lateral orbital wall, in living bodies, is firm and has to be reduced in order for the posterior border to be seen (Bailey et al, 2005).…”

Orbital Decompression in Thyroid Eye Disease

“…The high incidence of postoperative diplopia because of an inferior globe displacement was avoided by preserving the inferomedial strut located at the junction of the maxillary and ethmoid sinuses [31, 41]. …”