Transorbital Neuroendoscopic Approaches: Historical and Tactical Review of Orbital Corridors: A Scoping Review

Abstract

Introduction

The orbit is a useful corridor underutilized by the neurosurgical community. The aim of this manuscript is to describe this well-established approach in the neurosurgeon's tool box.

Methods

A scoping review of 363 articles containing transorbital neuroendoscopic surgical approaches were reviewed by two independent reviewers for inclusion in this report.

Results

Discussed here are the four transcutaneous transorbital approaches, including the superior eyelid crease (SLC), and upper eyelid approaches, lateral (retrocanthal) transorbital approach, inferior (preseptal) transconjunctival approach, and the medial (transcaruncular) orbitotomy approach.

Conclusion

This practical review will highlight the surgical approaches, historical origins, indications, and contraindications of all the orbital corridors to the cranium.

Keywords

endoscopic neurosurgery - minimally invasive - transorbital approach - neurosurgery

Publication History

Received: 13 September 2024

Accepted: 16 December 2024

Article published online:
24 February 2025

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