Transnasal Endoscopic Approach to Expose the Medial Rectus From the Annulus of Zinn to the Penetration of Tenon's Capsule

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dc.contributor.author Dunya, Ibrahim
dc.contributor.author McKeown, Craig
dc.contributor.author Metson, Ralph
dc.contributor.author Shore, John
dc.contributor.author Joseph, Michael
dc.date.accessioned 2016-06-16T05:26:35Z
dc.date.available 2016-06-16T05:26:35Z
dc.date.copyright 1996 en_US
dc.date.issued 2016-06-16
dc.identifier.issn 0191-3913 en_US
dc.identifier.uri http://hdl.handle.net/10725/4059
dc.description.abstract Conventional strabismus surgery employs a conjunctival incision to gain access to Tenon's space where a wide variety of procedures are routinely performed on the tendon and anterior aspect of the extraocular muscles. Recently, transnasal endoscopic surgical techniques have gained acceptance as effective means of decompressing the medial wall and floor of the orbit in patients with thyroid-related orbitopathy.The orbital surface of the medial rectus and inferior rectus are exposed from the annulus of Zinn to a position close to where the muscles penetrate Tenon's capsule. In theory, this technique also provides the exposure necessary to locate and retrieve a "lost" medial rectus when the usual subTenon's approach fails to recover the muscle. Cadaver studies demonstrate the feasibility of exposure and suture placement in the stump of a lost medial rectus with passage of the suture through Tenon's capsule to transmit the force of the muscle to the globe, provided that the lost muscle is retrieved before severe contracture develops. en_US
dc.language.iso en en_US
dc.title Transnasal Endoscopic Approach to Expose the Medial Rectus From the Annulus of Zinn to the Penetration of Tenon's Capsule en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200902712 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Pediatric Ophthalmology and Strabismus en_US
dc.journal.volume 33 en_US
dc.journal.issue 4 en_US
dc.article.pages 225-229 en_US
dc.identifier.doi http://dx.doi.org/10.3928/0191-3913-19960701-05 en_US
dc.identifier.ctation McKeown, C. A., Metson, R. B., Dunya, I. M., Shore, J. W., & Joseph, M. P. (1996). Transnasal endoscopic approach to expose the medial rectus from the annulus of Zinn to the penetration of Tenon's capsule. Journal of pediatric ophthalmology and strabismus, 33(4), 225-229. en_US
dc.author.email ibrahim.dunya@lau.edu.lb
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.healio.com/ophthalmology/journals/jpos/1996-7-33-4/%7Bd7fe4e60-f060-4e0a-9325-a559a3206a22%7D/transnasal-endoscopic-approach-to-expose-the-medial-rectus-from-the-annulus-of-zinn-to-the-penetration-of-tenons-capsule en_US

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