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Purpose of Review <p>To review current principles of orbital reconstruction after endoscopic endonasal resection of sinonasal tumours with orbital involvement, with emphasis on indications, reconstructive options, and functional outcomes after eye-sparing surgery.</p> Recent Findings <p>Recent studies support a selective, defect-based approach rather than routine reconstruction. Decision-making depends on defect location and extent, loss of structural support, periorbital status, and anticipated radiotherapy. The orbital floor and inferomedial orbit remain the most critical regions, whereas limited isolated defects of the medial wall, lateral wall, or roof may often be observed without rigid repair.</p> Summary <p>Orbital reconstruction after tumour removal has shifted from ablative replacement to preservation of support, function, and cosmesis. Although available evidence is largely retrospective, primary reconstruction appears to reduce late globe malposition in selected patients. Better defect reporting, radiotherapy-adjusted algorithms, and prospective multicentre studies are needed to refine indications and outcomes.</p>

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Orbital Reconstruction: Management After Endoscopic Sinonasal Tumour Resection

  • 期刊论文

  • 发表日期：

    2026年5月13日

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  • Francesca Pirola,
  • Pavol Surda

摘要

Purpose of Review

To review current principles of orbital reconstruction after endoscopic endonasal resection of sinonasal tumours with orbital involvement, with emphasis on indications, reconstructive options, and functional outcomes after eye-sparing surgery.

Recent Findings

Recent studies support a selective, defect-based approach rather than routine reconstruction. Decision-making depends on defect location and extent, loss of structural support, periorbital status, and anticipated radiotherapy. The orbital floor and inferomedial orbit remain the most critical regions, whereas limited isolated defects of the medial wall, lateral wall, or roof may often be observed without rigid repair.

Summary

Orbital reconstruction after tumour removal has shifted from ablative replacement to preservation of support, function, and cosmesis. Although available evidence is largely retrospective, primary reconstruction appears to reduce late globe malposition in selected patients. Better defect reporting, radiotherapy-adjusted algorithms, and prospective multicentre studies are needed to refine indications and outcomes.