The Trans-Septal Approach to the Orbital Apex via the Contralateral Exenterated Orbit

Abstract

Purpose: To report a unique approach to the orbital apex through the contralateral orbit.

Methods: A 65-year-old male presented with right compressive optic neuropathy due to nasopharyngeal carcinoma spread. Clinical evaluation and imaging showed a right orbital apex mass. Surgery included apical orbital tumor debulking, and orbital decompression performed via the contralateral exenterated side. Postoperatively, symptoms were relieved.

Conclusions: Orbitotomy via the contralateral exenterated orbit should be considered as a surgical option in these unique patients requiring direct access to the orbital apex.

KEYWORDS::

• Exenteration
• Nasopharyngeal carcinoma
• Orbital apex

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.