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The transmaxillary endoscopic approach to the inferior part of the orbit: how I do it
Tomasz Lyson1, Andrzej Sieskiewicz, Marek Rogowski
1Department of Neurosurgery, Medical University of Bialystok, M. Sklodowskiej-Curie 24A, 15-276, Bialystok, Poland, lyson_t@vp.pl.
Background:
Transmaxillary endoscopic approach to the inferior part of the orbit was demonstrated on cadaveric preparations; however, its clinical application has not been reported. We describe a clinically useful technique of the transmaxillary approach to the lower orbit.
Methods:
A four-hand technique is essential for extensive preparation within the orbit; therefore, the tools have to be introduced into the maxillary sinus through two ports: either through the canine fossa and antrostomy or through antrostomy using the bi-nostril transseptal approach.
Conclusion:
Intraorbital pathologies located in the inferior retrobulbar space can be successfully operated on using the transmaxillary endoscopic approach.
