Study: Endoscopic Transconjunctival Deep Lateral Wall Decomp
A Study was conducted to investigate the feasibility, efficacy, and safety of endoscopic transconjunctival transorbital deep lateral wall decompression for thyroid-associated orbitopathy (TAO).

22 patients diagnosed with TAO without dysthyroid optic neuropathy were enrolled in this study. All the patients underwent endoscopic transconjunctival transorbital deep lateral wall decompression for proptosis reduction. The data, including measurement on exophthalmometry, volumetric change on computerized tomography, and surgery-related complications, were analyzed.

Results:
--Researchers observed a proptosis reduction and a corresponding decrease in the bony volume of the greater wing of the sphenoid bone postoperatively.

--Pre-existing diplopia improved in five patients (22.72%).

--Transient zygomaticotemporal hypoaesthesia developed in all patients while cerebrospinal fluid leakage occurred in one orbit.

--No patient complained of temporal hollowing, oscillopsia, new-onset or worsening diplopia during follow-up.

To summarize, endoscopic transconjunctival transorbital deep lateral wall decompression is a successful and less invasive treatment for TAO patients with proptosis reduction. When compared to standard techniques, this procedure had less surgical problems.

Source: https://www.sciencedirect.com/science/article/abs/pii/S0002939421004268?dgcid=rss_sd_all
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