2025 Poster Presentations
P030: ENDOSCOPIC ENDONASAL MEDIAL ORBITAL DECOMPRESSION AND ORBITAL APEX TUMOR BIOPSY
Luke Silveira, MD; Elizabeth Houle, MD; Carolyn Orgain, MD; Brandon Liebelt, MD; University of Vermont Medical Center
The transethmoidal, trans-lamina papyracea approach is a unique endoscopic endonasal approach to the medial orbit. It affords surgical access to the inferomedial quadrant of the orbit without significant disruption to otherwise structurally and/or cosmetically integral orbital boundaries. In this case, the approach is exploited to enter the inferomedial orbit, transgress the plane between the medial and inferior rectus muscles, and decompress the optic nerve by resecting an offending medial orbital apex tumor.