title: The medical orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy.
abstract: Ocular dystopia with inferomedial displacement of the globe is an unusual but well-recognized complication of bony orbital decompression. It is caused by displacement of the muscle cone and orbital connective tissue system into the maxillary and ethmoidal sinuses. We illustrate a surgical variation of bony orbital decompression leaving intact a strut of bone at the maxillary-ethmoid junction. This bony strut reduces inferomedial displacement of the muscle cone and provides a medial supporting "ledge" in cases requiring late orbital reconstruction.
authors.affiliation: Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, UCLA School of Medicine 90024-7006.
authors.forename: R A
authors.initials: RA
authors.lastname: Goldberg
authors.forename: N
authors.initials: N
authors.lastname: Shorr
authors.forename: M S
authors.initials: MS
authors.lastname: Cohen
mesh_terms: D005128:Eye Diseases / Q000517:prevention & control*; D006801:Humans; D009916:Orbital Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D013959:Thyroid Diseases / Q000601:surgery*