Endoscopic Endonasal Approach for Intra- and Extraconal Orbital Pathologies. J Neurol Surg B Skull Base 2020 Aug;81(4):442-449
Date
10/20/2020Pubmed ID
33072484Pubmed Central ID
PMC7561460DOI
10.1055/s-0040-1713940Scopus ID
2-s2.0-85092193910 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Endoscopic endonasal approaches offer an important alternative in the management of posterior inferomedial orbital pathology. Beginning with endoscopic orbital decompressions for Graves' disease, the endonasal corridor for the management of intra- and extraconal pathologies has continued to evolve. Endonasal removal of orbital cavernous hemangiomas is well described in the literature; however, many other benign and malignant pathologies of the medial orbit can be accessed through this approach. Advantages of the endonasal approach include improved visualization and decreased manipulation of orbital contents in the medial and posterior orbit. Additionally, for tumors that extend from the paranasal sinuses into the orbit, this corridor may be ideal for concurrent management. The current literature for this approach will be reviewed including the oncologic results, complications, limitations, and reconstructive needs along with pertinent anatomy. In addition, data from our own institution will be reviewed.
