{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:31:35Z","timestamp":1777386695440,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American Journal of Rhinology"],"published-print":{"date-parts":[[2008,1]]},"abstract":"\n Background<\/jats:title>\n Although the use of endoscopes and image guidance provide some safeguards, motility complications from orbital injury during endoscopic sinus surgery still pose a significant concern and can provide a therapeutic challenge.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We present the case of a 40-year-old woman with strabismus secondary to an iatrogenic injury to the medial rectus muscle during endoscopic sinus surgery.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Permanent resolution of diplopia was achieved with botulinum toxin A injection into the lateral rectus muscle without the need for surgical intervention.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Botulinum toxin A should be considered as a first-line early therapeutic option for cases of iatrogenically induced strabismus after endoscopic sinus surgery when complete transection or entrapment is not present.<\/jats:p>\n <\/jats:sec>","DOI":"10.2500\/ajr.2008.22.3123","type":"journal-article","created":{"date-parts":[[2008,2,13]],"date-time":"2008-02-13T19:27:23Z","timestamp":1202930843000},"page":"95-97","source":"Crossref","is-referenced-by-count":17,"title":["Botulinum Toxin a Therapy for Medial Rectus Injury during Endoscopic Sinus Surgery"],"prefix":"10.1177","volume":"22","author":[{"given":"Jenny E.","family":"Hong","sequence":"first","affiliation":[{"name":"Departments of Ophthalmology, University of California, San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew N.","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly P.","family":"Cockerham","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Stanford University, Palo Alto, 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