Endoscopic Orbital Surgery

Endoscopic Orbital Surgery

Endoscopic Orbital Surgery is an advanced minimally invasive approach to treat conditions affecting the orbit (eye socket) through the nasal cavity, without external facial incisions. This technique allows Dr. Vishal Vikas Nair to access the medial orbital wall and orbital apex through the nose, enabling treatment of orbital complications, decompression, and tumour removal with minimal morbidity.


What is Endoscopic Orbital Surgery?

The orbit is closely related to the ethmoid and sphenoid sinuses. Using endoscopic techniques, the medial orbital wall can be accessed through the nasal cavity to decompress the orbit, drain orbital abscesses, remove tumours, or repair orbital fractures. This approach avoids external scars and offers superior visualisation of the medial orbital structures.


Conditions Treated

  • Orbital complications of sinusitis (subperiosteal abscess, orbital cellulitis)
  • Thyroid Eye Disease (Graves' orbitopathy) — orbital decompression
  • Orbital tumours (benign and malignant)
  • Optic nerve decompression
  • Medial orbital wall fractures
  • Orbital haematoma
  • Orbital foreign bodies

Procedures Performed

Endoscopic Orbital Decompression

Removal of the medial orbital wall and/or orbital fat to reduce proptosis (bulging eye) in thyroid eye disease, relieving pressure on the optic nerve and improving appearance.

Endoscopic Drainage of Orbital Abscess

Drainage of subperiosteal or orbital abscesses complicating sinusitis, avoiding external incisions and preserving vision.

Endoscopic Optic Nerve Decompression

Surgical decompression of the optic nerve canal to restore or preserve vision in cases of traumatic optic neuropathy or compressive lesions.


Benefits of Endoscopic Orbital Surgery

  • No external facial incisions or scars
  • Excellent visualisation of medial orbital structures
  • Reduced risk of injury to orbital contents
  • Shorter recovery and hospital stay
  • Can be combined with sinus surgery in the same sitting
  • Multidisciplinary approach with ophthalmology

Why Choose Dr. Vishal Vikas Nair?

  • Expert in advanced endoscopic skull base and orbital surgery
  • Multidisciplinary collaboration with ophthalmology and neurosurgery
  • Extensive experience with complex orbital pathology
  • State-of-the-art endoscopic navigation systems
  • Comprehensive pre-operative imaging and surgical planning