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Transorbital Endoscopic Surgery

  • Endoscopic Orbital Surgery (B Bleier, Section Editor)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Endoscopic surgery of the orbit and the creation of transorbital portals to access lesions involving the orbit, sinuses and skull base is now being performed in multiple centres across the world since being popularised by Kris Moe in 2010. This review focuses on the current knowledge base with regard to transorbital endoscopic surgery.

Recent Findings

Numerous publications show favourable outcomes in the management of orbital, skull base and intracranial lesions using endoscopic transorbital surgery when compared to traditional surgical approaches. Previously inaccessible or difficult-to-access lesions can now be reached using surgery which often offers superior visualisation with minimal collateral tissue trauma.

Summary

Endoscopic transorbital surgery has proven to be a safe and effective alternative to traditional and often destructive surgical approaches for lesions of the orbit and skull base. Orbital and transorbital anatomy has been freshly described looking at anatomical structures from an endoscopic anterior approach, and techniques and instrumentation refined to a degree where the surgery is now reproducible.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Bhatt J, Jones A, Foley S, Shah Z, Malone P, Fawcett D, et al. Harold Horace Hopkins: a short biography. BJU Int. 2010;106(10):1425–8.

  2. Norris JL, Cleasby GW. Endoscopic orbital surgery. Am J Ophthalmol. 1981;91(2):249–52.

    Article  CAS  PubMed  Google Scholar 

  3. •• Moe KS, Bergeron CM, Ellenbogen RG. Transorbital neuroendoscopic surgery. Neurosurgery. 2010;67(3 Suppl Operative):ons16–28. Initial paper describing transorbital surgery.

    PubMed  Google Scholar 

  4. Thawley SE. The otolaryngologist-ophthalmologist relationship: an historic perspective. Otolaryngol Clin N Am. 2006;39(5):845–53 v.

    Article  Google Scholar 

  5. Gandhi CD, Christiano LD, Eloy JA, Prestigiacomo CJ, Post KD. The historical evolution of transsphenoidal surgery: facilitation by technological advances. Neurosurg Focus. 2009;27(3):E8.

    Article  PubMed  Google Scholar 

  6. Balakrishnan K, Moe KS. Applications and outcomes of orbital and transorbital endoscopic surgery. Otolaryngol Head Neck Surg. 2011;144(5):815–20.

    Article  PubMed  Google Scholar 

  7. Close LG. Endoscopic Lothrop procedure: when should it be considered? Curr Opin Otolaryngol Head Neck Surg. 2005;13(1):67–9.

    Article  PubMed  Google Scholar 

  8. Poczos P, Kurbanov A, Keller JT, Zimmer LA. Medial and superior orbital decompression: improving access for endonasal endoscopic frontal sinus surgery. Ann Otol Rhinol Laryngol. 2015;124(12):987–95.

    Article  PubMed  Google Scholar 

  9. • Lubbe D, Mustak H, Taylor A, Fagan J. Minimally invasive endo-orbital approach to sphenoid wing meningiomas improves visual outcomes—our experience with the first seven cases. Clin Otolaryngol. 2017;42(4):876–80. Initial paper describing technique to improve vision in sphenoid wing meningioma surgery.

  10. Lubbe D. Transorbital neuroendoscopic surgery (TONES). ENT & Audiology News; 2017.

  11. Cornelis MM, Lubbe DE. Pre-caruncular approach to the medial orbit and landmarks for anterior ethmoidal artery ligation: a cadaveric study. Clin Otolaryngol. 2016;41(6):777–81.

    Article  CAS  PubMed  Google Scholar 

  12. Moe KS, Kim LJ, Bergeron CM. Transorbital endoscopic repair of cerebrospinal fluid leaks. Laryngoscope. 2011;121(1):13–30.

    Article  PubMed  Google Scholar 

  13. •• Lubbe DE, Moe KS. Transorbital approaches to the sinuses, skull base and intracranial space. In: Bleier BS, Freitag S, Sacks R, editors. Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management. 1st ed. Stuttgart: Thieme Medical Publishers; 2019. Original work describing the different approaches and indications.

    Google Scholar 

  14. Ramakrishna R, Kim LJ, Bly RA, Moe K, Ferreira M Jr. Transorbital neuroendoscopic surgery for the treatment of skull base lesions. J Clin Neurosci. 2016;24:99–104.

    Article  PubMed  Google Scholar 

  15. •• Locatelli D, Pozzi F, Turri-Zanoni M, Battaglia P, Santi L, Dallan I, et al. Transorbital endoscopic approaches to the skull base: current concepts and future perspectives. J Neurosurg Sci. 2016;60(4):514–25. Presents emerging applications and based on a review of meta-analysis and recent clinical series.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Otorhinolaryngology, University of Cape Town, Cape Town, South Africa

    Darlene Lubbe, Kafui Seayaroh, Nic Goncalves & Johan Fagan

  2. Division of Ophthalmology, University of Cape Town, Cape Town, South Africa

    Hamzah Mustak

Authors
  1. Darlene Lubbe
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  2. Hamzah Mustak
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  3. Kafui Seayaroh
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  4. Nic Goncalves
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  5. Johan Fagan
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Corresponding author

Correspondence to Darlene Lubbe.

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This article is part of the Topical Collection on Endoscopic Orbital Surgery

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Lubbe, D., Mustak, H., Seayaroh, K. et al. Transorbital Endoscopic Surgery. Curr Otorhinolaryngol Rep 7, 173–180 (2019). https://doi.org/10.1007/s40136-019-00237-x

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  • DOI: https://doi.org/10.1007/s40136-019-00237-x

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