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Surgical management of orbital tumors

Alperen Vural1, Metin Unlu2, Izzat Mammadov1

  • 1Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Department of Otolaryngology & Head and Neck Surgery, Istanbul.

Current Opinion in Otolaryngology & Head and Neck Surgery
|December 18, 2025
PubMed
Abstract

Insights

Surgical management of intraorbital tumors is evolving with minimally invasive techniques and advanced technology. These approaches improve precision and outcomes for complex cases, prioritizing functional preservation.

Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Oncology

Background:

  • Intraorbital tumors pose significant surgical challenges due to their location near vital neurovascular structures.
  • Effective management requires specialized techniques to balance tumor removal with preservation of function.

Purpose of the Study:

  • To review current surgical strategies for intraorbital tumors.
  • To examine emerging techniques and their impact on patient outcomes.
  • To discuss the management of complex intraorbital lesions.

Main Methods:

  • Review of current literature on surgical approaches for intraorbital tumors.
  • Analysis of outcomes associated with traditional and minimally invasive techniques.
  • Evaluation of novel technologies and classification systems in surgical planning.

Main Results:

  • Minimally invasive endoscopic surgery offers expanded options for medial and inferiorly located tumors.
  • Classification systems (CHEER, ORBIT) aid in surgical planning based on tumor location.
  • Image guidance, 3D modeling, radiomics, and robotic assistance enhance preoperative assessment and surgical precision.

Conclusions:

  • Surgical management of intraorbital tumors has advanced, with both open and endoscopic methods achieving high tumor control and functional preservation.
  • A multidisciplinary approach, tailored surgical planning, and careful patient selection are crucial for optimal results.
Keywords:
endoscopic endonasal approachintraorbital tumorsorbital surgerytransorbital surgery

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