Certain cases of thyroid-related orbitopathy may require surgical decompression of the orbit. The purpose of this paper is to highlight new techniques of orbital decompression in thyroid-related orbitopathy. We present two illustrative cases selected from our recent surgical experience. The techniques of combined-approach decompression, transcaruncular approach to the medial orbital wall, drill...

The zygoma forms part of the floor and lateral wall of the orbit and the zygomatic arch is an important feature in the structure and appearance of the face. The malar complex refers to the zygoma and maxillary bones (and therefore forms part of the orbital floor and lateral orbital wall). This plays a key role in the structure and function of the facial skeleton. In addition to providing suppor...

A case of acquired Brown syndrome caused by surgical repair of medial orbital wall fracture is reported in the present paper. A 23-year-old man presented at the hospital with right periorbital trauma. Although the patient did not complain of any diplopia, the imaging study revealed a blow-out fracture of the medial orbital wall. Surgical repair with a calvarial bone autograft was performed at t...

ORBITAL exploration has shown that the commonest causes of unilateral proptosis of unexplained origin are small cavernous haemangiomata and blood cysts in the muscle cone space not extending to the orbital apex (Mortada, 1962a). When orbital exploration reveals no abnormality but is followed by slowly progressive proptosis, repeated skull x rays usually show that the cause is a deep orbital wal...

ORBITAL exploration has shown that the commonest causes of unilateral proptosis of unexplained origin are small cavernous haemangiomata and blood cysts in the muscle cone space not extending to the orbital apex (Mortada, 1962a). When orbital exploration reveals no abnormality but is followed by slowly progressive proptosis, repeated skull x rays usually show that the cause is a deep orbital wal...

The molecular basis for the profound inflammatory response and the accumulation of hyaluronan in orbital connective tissues seen in thyroid-associated ophthalmopathy is unknown. Moreover, the link between the orbital manifestations of Graves' disease and those in the pretibial skin, localized dermopathy, has yet to be established. We have reported recently that leukoregulin, an activated T lymp...

OBJECTIVE The most accurate orbital reconstructions result from an anatomic repair of the premorbid orbital architecture. Many different techniques and materials have been used; unfortunately, there is currently no optimal method. This study compares the use of preformed vs intraoperative bending of titanium mesh for orbital reconstruction in 2-wall orbital fractures. STUDY DESIGN Cadaver-bas...