ArticlePlastic and reconstructive surgery. Global open2025
Lateral Retrocanthal Orbital Decompression for Children With Thyroid Eye Disease: A Canthus-sparing Approach.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Thyroid eye disease (TED) is one of the most common causes of proptosis in children. The traditional surgical approach to manage disfiguring proptosis associated with TED is orbital decompression surgery, which is often accomplished via lateral wall decompression through canthotomy and cantholysis. However, this technique can result in lateral canthus scarring and migration. Here, we describe the effectiveness of a skin-sparing retrocanthal transconjunctival surgical technique for lateral orbital decompression in pediatric patients with TED. Twelve pediatric patients with TED and disfiguring proptosis underwent lateral orbital decompression through a conjunctival-only incision at the Children's Hospital of Philadelphia from 2014 to 2024. The mean age at TED onset was 12.51 (range: 8.50-17.22) years, with surgery performed at a mean age of 14.80 years. A significant reduction in proptosis was observed postoperatively, with exophthalmometry measurements decreasing from 22 mm (SD: 3.09) to 19 mm (SD: 2.59) (
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