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Updated: Feb 23, 2026
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
The medial orbito-frontal approach for orbital tumors: a How I Do It
Lucas Troude1, Florian Bernard2, Pierre-Hugues Roche2
1Department of Neurosurgery, North University Hospital, APHM, 13015, Marseille, France. lucas.troude@ap-hm.fr.
Background:
A variety of lesions can affect the orbit. Surgical approaches must be available to provide 360 degrees of access. For tumors occupying the superomedial intraconal quadrant, there is a rationale to selecting the medial orbito-frontal approach.
Methods:
This article outlines the relevant surgical anatomy and the different surgical steps of this approach.
Results:
The medial orbito-frontal approach offers a full exposure of the superomedial intraconal quadrant and avoids crossing the plane of the optic nerve.
Conclusion:
In selected intraconal tumor cases, this transcranial epidural intraorbital approach is a straightforward corridor through reliable landmarks that can be routinely performed.
