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

Figure 2

(a) Superlong Payner 360° used for trigone removal. (b) The deep lateral wall to the trigone is removed. The image shows the intact orbital rim and bony window following osteotomy. (c) Prolapse of the lacrimal gland and orbital fat in the newly opened 623 bony spaces. (d) The incision is closed in layers and vacuum drain inserted. (e) 1 year after surgery, the scar is almost invisible.

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