{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T13:42:34Z","timestamp":1770990154226,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3758,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To compare the efficacy of endoscopic medial and lateral orbital wall surgery to 3\u2010wall decompression in patients with thyroid eye disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>A retrospective study of patients with thyroid eye disease with severe proptosis, exposure keratitis, or compressive optic neuropathy was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Mean reduction in proptosis was 4.37\u00a0mm in the 2\u2010wall approach and 4.59\u00a0mm in the 3\u2010wall group. Seventy\u2010five percent of patients in the 2\u2010wall group demonstrated improved visual acuity; 50% improved after 3\u2010wall decompression. Vertical palpebral fissure height decreased by an average of 2.50\u00a0mm in the 2\u2010wall group and by 2.03\u00a0mm in the 3\u2010wall group. New onset diplopia was 11.8% and 12.5%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Improvement in the degree of proptosis, visual acuity, and palpebral fissure height was seen in the majority of our patients and compared favorably to our results with 3\u2010wall orbital decompression.<\/jats:p><jats:p>EBM rating: C\u20104<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2005.10.018","type":"journal-article","created":{"date-parts":[[2006,2,8]],"date-time":"2006-02-08T13:25:05Z","timestamp":1139405105000},"page":"260-266","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Combined Endoscopic Medial and External Lateral Orbital Decompression for Progressive Thyroid Eye Disease"],"prefix":"10.1002","volume":"134","author":[{"given":"Robert D.","family":"Silver","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Minnesota Minneapolis 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