Effectiveness of superior eyelid endoscopic-assisted approach in the management of selected orbital abscess: considerations on 4 cases

Orbital abscess is one of the most serious complications of acute rhinosinusitis and requires surgical management to avoid further complications such as visual loss and intracranial extension of the infectious process. Endoscopic sinus surgery is the most frequently used procedure in such cases, even if its use may be insufficient in some cases. The aim of the present study is to present our experience on the management of selected orbital abscesses through a superior eyelid endoscopic approach in combination with endonasal surgery. Personal considerations on four cases and lessons learned are described.