Document Type
Article
Publication Date
5-13-2026
Abstract
Purpose of Review: To review relevant medial orbital anatomy as well as the most commonly used approaches to this space. Recent Findings: The use of the endoscopic endonasal approach for access to the medial orbit, including the intraconal space, has expanded allowing for removal of previously “inoperable” pathology. Summary: Each approach has their strength when considering access to the medial orbit, the transcaruncular incision allows for fast access with limited dissection while the transpalebral approach allows for visualization of the medial orbit but also extended access to the superior and lateral orbit. Conversely, the conjunctival approach allows for wider access to the orbital floor and the endonasal approach can be used when the pathology is medial to the optic nerve in the anterior fossa, parasellar region, and orbit.
Recommended Citation
Garvey, Emily; Bitner, Benjamin; and Rabinowitz, Mindy R., "Anatomy of the Orbit: Radiologic and Surgical Anatomy of Anterior and Medial Approaches" (2026). Department of Otolaryngology - Head and Neck Surgery Faculty Papers. Paper 115.
https://jdc.jefferson.edu/otofp/115
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Language
English
Comments
This article is the author’s final published version in Current Otorhinolaryngology Reports, Volume 14, Issue 1, 2026, Article number 12.
The published version is available at https://doi.org/10.1007/s40136-026-00541-3. Copyright © The Author(s) 2026.