# Transorbital Neuroendoscopic Approaches: Historical and Tactical Review of Orbital Corridors: A Scoping Review

## TL;DR

This paper reviews underused surgical approaches through the eye socket for brain procedures.

## Contribution

The paper provides a comprehensive review of transorbital neuroendoscopic approaches and their surgical applications.

## Key findings

- Four transcutaneous transorbital approaches are described with their historical origins.
- The review highlights indications and contraindications for each orbital corridor approach.
- The manuscript aims to promote awareness and use of these underutilized neurosurgical techniques.

## Abstract

The orbit is a useful corridor underutilized by the neurosurgical community. The aim of this manuscript is to describe this well-established approach in the neurosurgeon's tool box.

A scoping review of 363 articles containing transorbital neuroendoscopic surgical approaches were reviewed by two independent reviewers for inclusion in this report.

Discussed here are the four transcutaneous transorbital approaches, including the superior eyelid crease (SLC), and upper eyelid approaches, lateral (retrocanthal) transorbital approach, inferior (preseptal) transconjunctival approach, and the medial (transcaruncular) orbitotomy approach.

This practical review will highlight the surgical approaches, historical origins, indications, and contraindications of all the orbital corridors to the cranium.