Endonasal Approach to Orbital Pathology

Area of Science:

• Neurosurgery
• Ophthalmology
• Otolaryngology

Background:

• The field of orbital surgery has evolved significantly over the past two decades.
• Surgical interventions have expanded beyond orbital decompression to include the excision of tumors located in the medial orbit.
• Advancements in surgical instrumentation have influenced the types, locations, and sizes of tumors amenable to excision.

Purpose of the Study:

• To discuss key surgical considerations for approaching orbital lesions using the transnasal endoscopic technique.
• To review existing literature on transnasal endoscopic orbital surgery.

Main Methods:

• Literature review of transnasal endoscopic orbital surgery.
• Discussion of surgical considerations for accessing orbital lesions via an endoscopic endonasal route.

Main Results:

• The endonasal approach provides a surgical corridor to the orbit.
• This technique potentially offers improved exposure, illumination, and magnification for specific orbital lesions, particularly those in medial and apical locations.

Conclusions:

• The transnasal endoscopic approach can be a valuable technique for orbital tumor excision.
• It may serve as a primary or supplementary surgical method in carefully selected cases.