Deep Lateral Wall Partial Rim-Sparing Orbital Decompression with Ultrasonic Bone Removal for Treatment of Thyroid-Related Orbitopathy

Figure 1

The triangular incision along the eyelid crease (a) allows excellent exposure of the orbital rim (b). The exposed lateral wall (c). The serrated aggressive knife used for osteotomies (d). The plastic irrigation sleeve on the ultrasonic tip prevents thermal damage to the skin and soft tissues. Full-thickness osteotomy made 5 mm posterior and parallel to the lateral orbital rim with the aggressive serrated knife tip, extending from the level of the orbital roof to the floor and a second full-thickness back-cut placed above the zygomatic arch (e).

(a)

(b)

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(d)

(e)