{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:10:33Z","timestamp":1773702633168,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":4961,"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":[[2003,2]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Graves' orbitopathy can produce proptosis, compressive optic neuropathy, and extraocular motility abnormalities; symptoms result from an increase in orbital volume due to expansion of intraorbital fat, with or without extraocular muscle involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>We conducted a chart review of patients who underwent orbital decompression to treat Graves' orbitopathy. Twenty\u2010two orbits (13 patients) underwent orbital bone decompression, of which 17 orbits (9 patients) underwent the combined medial and lateral \u201cbalanced\u201d decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>All patients had significant improvement with an average decrease in proptosis of 5.9\u00a0mm in the balanced decompression group. Restoration of normal optic nerve function was achieved in all patients with compressive optic neuropathy. Diplopia was noted in 4 patients (30.7%) preoperatively. Two patients had new postoperative diplopia (15.35%).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>In our experience, \u201cbalanced\u201d decompression results in a reduction of proptosis and improved optic nerve function and has a low incidence of complications.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2003.61","type":"journal-article","created":{"date-parts":[[2003,3,4]],"date-time":"2003-03-04T13:28:22Z","timestamp":1046784502000},"page":"228-235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["\u201cBalanced\u201d Orbital Decompression for Severe Graves' Orbitopathy: Technique with Treatment Algorithm"],"prefix":"10.1002","volume":"128","author":[{"given":"Kacker","family":"Ashutosh","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery New York Presbyterian Hospital\u2013Columbia Campus New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazim","family":"Michael","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology New York Presbyterian Hospital\u2013Columbia Campus New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murphy","family":"Mark","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery New York Presbyterian Hospital\u2013Columbia Campus New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trokel","family":"Stephen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology New York Presbyterian Hospital\u2013Columbia Campus New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. 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