Surgical management of temple-related problems following lateral wall rim-sparing orbital decompression for XXXX .

@entity1 @entity2372 @entity32062 @entity8426 @entity892 @entity3856
AIM: To report a case series of @entity1 with persistent temple-related problems following lateral wall rim-sparing (LWRS) orbital decompression for @entity8426 and to discuss their management. METHODS: Retrospective review of medical records of @entity1 referred to two oculoplastic centres (Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, UK and Moran Eye Center, University of Utah, Salt Lake City, USA) for intervention to improve/alleviate temple-related problems. All @entity1 were seeking treatment for their persistent, temple-related problems of minimum 3   years' duration post decompression. The main outcome measure was the resolution or improvement of temple-related problems. RESULTS: Eleven orbits of six @entity1 (five females) with a median age of 57   years (range 23-65) were included in this study. Temple-related problems consisted of cosmetically bothersome temple hollowness (n=11; 100%), @entity32062 (n=8; 73%), temple tenderness (n=4; 36%), 'clicking' sensation (n=4; 36%) and gaze-evoked @entity3856 (n=4; 36%). Nine orbits were also complicated by proptosis and @entity2372 . Preoperative imaging studies showed the absence of lateral wall in all 11 orbits and evidence of prolapsed lacrimal gland into the wall defect in four orbits. Intervention included the repair of the lateral wall defect with a sheet implant, orbital decompression involving fat, the medial wall or orbital floor and autologous fat transfer or synthetic filler for temple hollowness. Postoperatively, there was full resolution of @entity32062 , temple tenderness, 'clicking' sensation and gaze-evoked @entity3856 , and an improvement in temple hollowness. Pre-existing @entity892 in one @entity1 resolved after surgery while two @entity1 developed new-onset @entity892 necessitating strabismus surgery. CONCLUSIONS: This is the first paper to show that persistent, troublesome temple-related problems following LWRS orbital decompression can be surgically corrected. @entity1 should be counselled about the potential risk of these complications when considering LWRS orbital decompression.
