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Updated: May 22, 2026

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Transnasal endoscopic surgery for benign orbital tumors
Shinichi Haruna1, Toshiharu Tukidate, Wataru Konno
1Dokkyo Medical University, Japan. haruna@dokkyomed.ac.jp
Auris, Nasus, Larynx
|May 19, 2012
Summary
Endoscopic transnasal surgery effectively treats medial orbital tumors. This approach can alleviate eye symptoms by relieving orbital pressure, even if complete tumor removal isn't possible.
Area of Science:
- Ophthalmology
- Neurosurgery
- Otorhinolaryngology
Background:
- Orbital tumors can cause significant visual impairment and discomfort.
- Surgical intervention is often necessary for orbital tumor management.
- Endoscopic transnasal approaches offer minimally invasive options for accessing the orbit.
Observation:
- Two cases of orbital tumors treated with endoscopic transnasal surgery are presented.
- Case 1 involved a benign, non-vascular tumor completely removed without complications.
- Case 2 involved a hemangioma requiring orbital decompression due to bleeding risks.
Findings:
- Complete resection was achieved in the benign tumor case.
- Orbital decompression successfully resolved eye symptoms in the hemangioma case.
- Endoscopic transnasal surgery is suitable for medially located benign orbital tumors.
Implications:
- Endoscopic transnasal surgery provides a viable treatment for select orbital tumors.
- Relieving orbital pressure is key to alleviating associated eye symptoms.
- This technique offers a less invasive alternative to traditional open orbital surgeries.
