Orbital surgery has always been disputed among specialists, mainly neurosurgeons, otorhinolaryngologists, maxillofacial surgeons and ophthalmologists. The orbit is a borderland between intra- and extracranial compartments; Krönlein's lateral orbitotomy and the orbitozygomatic infratemporal approach are the historical milestones of modern orbital-cranial surgery.
Since its first implementation, endoscopy has significantly impacted neurosurgery, changing perspectives and approaches to the skull base. Since its first application in 2009, transorbital endoscopic surgery opened the way for new surgical scenario, previously feasible only with extensive tissue dissection.
A PRISMA based literature search was performed to select the most relevant papers on the topic.
Here, we provide a narrative review on the current state and future trends in endoscopic orbital surgery.
This manuscript is a joint effort of the EANS frontiers committee in orbital tumors and the EANS skull base section.