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Through the orbit and beyond: Current state and future perspectives in endoscopic orbital surgery on behalf of the EANS frontiers committee in orbital tumors and the EANS skull base section

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 appr...

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Published in:Brain & spine 2023-01, Vol.3, p.102669-102669, Article 102669
Main Authors: Zoia, C., Mantovani, G., Müther, M., Suero Molina, E., Scerrati, A., De Bonis, P., Cornelius, J.F., Roche, P.H., Tatagiba, M., Jouanneau, E., Manet, R., Schroeder, H.W.S., Cavallo, L.M., Kasper, E.M., Meling, T.R., Mazzatenta, D., Daniel, R.T., Messerer, M., Visocchi, M., Froelich, S., Bruneau, M., Spena, G.
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Language:English
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Summary: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. •Orbital surgery is a frontier between different specialties: neurosurgeons, otorhinolaryngologists, maxillofacial surgeons, and ophthalmologists. Endoscopy opened a whole new scenario of surgical possibilities.•Trans-Orbital surgery seems to provide useful access to different intracranial compartments, previously reachable only via an extensive tissue dissection, with good functional and oncological outcomes.•Homogeneous nomenclature of approaches and anatomical landmarks, data consistency across studies, broad shared classifications and well-designed randomized clinical trials are strongly advocated.•Next years will be crucial to precise indications, techniques, outcomes and complications of trans-orbital endoscopy through data obtained from high-level scientific studies.•Specific and dedicated applications are needed for transorbital endoscopic surgery to incorporate this topic into the common neurosurgical knowledge of the new generations.
ISSN:2772-5294
2772-5294
DOI:10.1016/j.bas.2023.102669