Baskaran Ketharanathan, Mikkel Schou Andersen, Christian Bonde Pedersen, Peter Darling, John Jakobsen, Dorte Bechtold, Laleh Dehghani Molander, Nico Gampenrieder, Rikke Hedegaard Dahlrot, Nina Nguyen, Frantz Rom Poulsen & Bo Halle

Ugeskr Læger 2020;182:V07200523

Orbital decompression is indicated in patients with lesions in relation to the orbit. Patients often present with proptosis, decreased visual acuity, impaired motility and inability to close the eye. The decompressive approach to the orbit is selected based on the location of the pathology. When considering medial orbital wall decompression, the endonasal endoscopic approach is minimally invasive with a low-risk profile. Moreover, it enables an optic canal decompression if needed. In this review, we present some approaches to orbital decompression together with two cases of endonasal endoscopic decompression.