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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
651
Endoscopic management of orbital tumors
William C Yao1, Benjamin S Bleier
1aDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Texas Medical School at Houston, Houston, Texas bDepartment of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|November 18, 2015
Summary
Endoscopic surgery offers a minimally invasive approach for managing orbital tumors, providing better access to the posterior orbit and reducing patient morbidity compared to traditional external methods.
Area of Science:
- Ophthalmology
- Neurosurgery
- Endoscopic Surgery
Background:
- Traditionally, orbital tumors were treated with external incisions.
- Endoscopic surgery has transformed sinus and skull base disorder management.
- Endoscopic techniques are increasingly used for medial and inferior intraorbital tumors.
Purpose of the Study:
- To review the history, surgical anatomy, patient selection, planning, and techniques for endoscopic orbital tumor management.
- To highlight the benefits of endoscopic approaches for intraorbital tumors.
Main Methods:
- Review of current endoscopic surgical techniques for orbital tumors.
- Discussion of relevant orbital surgical anatomy.
- Analysis of patient selection and surgical planning considerations.
Main Results:
- Endoscopic management provides enhanced access to the posterior orbit and orbital apex.
- This approach demonstrates decreased morbidity compared to external surgical methods.
- The technique is still developing but shows promising outcomes.
Conclusions:
- A multidisciplinary team, including oculoplastic surgeons, is crucial for planning and management.
- Expanding surgical experience will likely broaden the indications for endoscopic orbital tumor removal.
