Endoscopic orbital decompression

Orbital decompression for the treatment of Graves' orbitopathy is an invaluable technique for patients with proptosis, exposure keratopathy, or optic neuropathy. The expanding role for transnasal endoscopic surgery leads to a natural extension for the management of selected orbital tumors and fibro-osseous lesions with orbital extension. Traditional open approaches that have been described over the past century are limited by suboptimal visualization and carry the morbidity of incisions within the facial skin, oral cavity, or conjunctiva. Endoscopic orbital decompression allows for safe and effective decompression of the medial and inferior orbital walls with minimal morbidity to the patient.