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Analysis of anterior and posterior maneuvers to enhance intraconal exposure

International Forum of Allergy & Rhinology May 04, 2019

Lemos-Rodriguez AM, et al. - Since the medial and inferior recti encompass the ideal surgical corridor to approach the intraconal space endonasally, researchers characterized three different maneuvers to achieve greater access to orbital contents through an expanded endonasal approach (EEA). The following three maneuvers were performed: anterior: extraocular muscles control (EOM); posterior: annulus of Zinn (AZ) release; and anterior/posterior combined. Findings revealed that the three delineated maneuvers provide progressive access to the orbital contents. The combined maneuver optimizes the magnitude of access. The target's actual location anterior/posterior will determine which maneuvers are needed.
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