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Updated: Dec 17, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Endoscopic endonasal intraconal orbit surgery.

Catherine Banks1, Qasim Husain1, Benjamin S Bleier1

  • 1Massachusetts Eye and Ear Infirmary, Department of Otolaryngology, Harvard Medical School, Boston, MA, USA.

World Journal of Otorhinolaryngology - Head and Neck Surgery
|June 30, 2020
PubMed
Summary

Endoscopic endonasal orbital surgery advances redefine limits for treating orbital tumors. This review details diagnosis, surgical techniques, and multidisciplinary care for improved outcomes.

Keywords:
Endoscopic endonasal orbital surgeryExtraconal space tumorsIntraconal space tumorsOrbital cavernous hemangioma

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Ophthalmology

Background:

  • Endoscopic endonasal orbital surgery is a rapidly advancing field.
  • Technological and knowledge advancements are expanding the surgical possibilities for orbital conditions.

Purpose of the Study:

  • To review the current state of endoscopic endonasal orbital surgery.
  • To discuss the management of orbital tumors via this approach.
  • To highlight the importance of a multidisciplinary team and standardized classification.

Main Methods:

  • Literature review of endoscopic endonasal orbital surgery techniques.
  • Discussion of clinical presentation, etiology, anatomy, and diagnostic workup for orbital tumors.
  • Outline of surgical approaches and post-operative care.

Main Results:

  • The historical limitations of the endonasal endoscopic approach to the orbit have been overcome.
  • The multidisciplinary team plays a crucial role in patient management.
  • A standardized classification system is needed for technical difficulty and outcome data.

Conclusions:

  • Endoscopic endonasal orbital surgery offers expanding possibilities for treating orbital pathologies.
  • Standardization and international collaboration are key to advancing this surgical field.
  • Multidisciplinary input is essential for optimal patient care and outcomes.