Combined transconjunctival–eyebrow approach providing minimally invasive access to all orbital quadrants

Abstract

HE orbit is a small compartment containing very delicate structures that are essential for the function of vision. Approaches to treat orbital diseases should provide a good exposure of anatomical structures and allow preservation of their function, such as ocular motility and visual acuity. Additionally, in the cases of exophthalmos or ocular deviation, surgery should maintain or improve a patient's physiognomical appearance. Several approaches to the intraorbital space have been described in the literature. 3,5,8,12 Most require bone removal through orbitotomies and/or craniotomies. More recently, transconjunctival approaches have been reported as suitable for the removal of tumors located in the inferomedial, basal, and lateral region of the orbit. 4,7 Moreover, they preclude the need for bone resection and subsequent reconstruction, offering less extensive and traumatic approaches. 4