A case presents a nasal approach to superior oblique tuck for treating misalignment in SOP, suggesting a viable alternative to conventional techniques.
Introduction Superior oblique palsy (SOP) is the most common cyclovertical muscle palsy, often presenting with vertical misalignment, excyclorotation, and abnormal head posture. The superior oblique tuck (SOT) is a widely accepted treatment option, though carries risks such as iatrogenic Brown syndrome. While a temporal approach is conventionally used, this case presents an alternative nasal approach to the SOT in a patient who had already undergone a temporal SOT.
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Rees et al. (2025) studied this question.
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