Outcome of deep lateral wall rim-sparing orbital decompression in XXXX : a new technique and results of a case series.

@entity1 @entity227 @entity5768 @entity892 @entity1319 @entity1374
PURPOSE: To describe a new technique for deep lateral (single) wall orbital decompression surgery, developed by Mr. Geoffrey Rose, for @entity5768 in @entity1 with @entity1374 and to analyse the results achieved in our series. METHODS: The study is an interventional, retrospective, non-comparative case series. Twenty-one eyes of seventeen @entity1 underwent the described technique of deep lateral wall orbital decompression for @entity1374 . All @entity1 had controlled thyroid functions and underwent surgery for cosmetic rehabilitation, with analysis of the @entity227 . The surgery involved removing the lateral orbital wall whilst preserving the lateral rim, the lateral wall being approached through a horizontal skin incision placed lateral to the lateral canthus. After reflecting the periosteum, most of the bone (deep lateral wall) between the skull base and inferior orbital fissure is removed. RESULTS: A mean reduction in @entity5768 of 4.81 mm    1.23 (SD) (p < 0.0001) with a median of 5.0 mm (range 3-7 mm) was achieved and the best-corrected visual acuity was maintained in all @entity1 . There were no complications during surgery, and post-operative complications included worsening of pre-existing @entity892 in one @entity1 (6%) and transient cheek/temple numbness seen in three @entity1 (18%). CONCLUSIONS: This technique of deep lateral wall orbital decompression developed by Mr. Rose is a safe and effective procedure for @entity1 with mild to moderate @entity5768 . It carries a low risk of morbidity and avoids complications associated with decompressing the floor and medial wall, including new @entity1319 .
