Impact of removal of the lateral orbital rim on intraorbital pressure during endoscopic trans-orbital approach (ETOA): a cadaveric study - Takeaways - MDSpire

Impact of removal of the lateral orbital rim on intraorbital pressure during endoscopic trans-orbital approach (ETOA): a cadaveric study

  • By

  • Antonio Strangio

  • Joel Davaine Ndongo Sonfack

  • Marc-Olivier Comeau

  • Guilherme Gago

  • Annie Moreau

  • Martìn Coté

  • Pierre-Olivier Champagne

  • December 20, 2025

  • 0 min

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  • 1

    Endoscopic transorbital approach (ETOA) is increasingly used for accessing the ventral skull base.

  • 2

    Intraocular pressure (IOP) can dangerously increase due to orbital retraction during ETOA, especially beyond 1.5 cm.

  • 3

    Removal of the lateral orbital rim (LOR) may enhance the working space during ETOA, but its impact on intraorbital pressure is unclear.

  • 4

    A solid-state strain-gauge microtransducer was utilized to monitor intraorbital pressure in cadaveric specimens during ETOA.

  • 5

    The study aimed to evaluate the effects of LOR removal on intraorbital pressure and quantify bone removal during ETOA.

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