Transorbital Endoscopic Surgery

  • Darlene LubbeEmail author
  • Hamzah Mustak
  • Kafui Seayaroh
  • Nic Goncalves
  • Johan Fagan
Endoscopic Orbital Surgery (B Bleier, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Endoscopic Orbital Surgery


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.


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.


Endoscopic transorbital surgery Transorbital neuroendoscopic surgery (TONES) Minimally invasive skull base surgery Anterior cranial fossa surgery Middle cranial fossa surgery 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Darlene Lubbe
    • 1
    Email author
  • Hamzah Mustak
    • 2
  • Kafui Seayaroh
    • 1
  • Nic Goncalves
    • 1
  • Johan Fagan
    • 1
  1. 1.Division of OtorhinolaryngologyUniversity of Cape TownCape TownSouth Africa
  2. 2.Division of OphthalmologyUniversity of Cape TownCape TownSouth Africa

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