Surgical approaches to the orbit - The past and the present

Tumors may occur in any part of the orbit. Their management demands either total excision or biopsy samples obtained through orbitotomy. The key to appropriate surgical management is a thorough knowledge of the anatomy and correct approach to reach the different spaces. The safest yet the most direct approach to access the tumors should be used. A multidisciplinary team may be required for deeply located lesions, close to the orbital apex, requiring advanced procedures. Here we give a brief review of the
evolution of the various orbitotomy procedures and the surgical approach to the same.

Keywords: Orbit, Orbitotomy, Proptosis, Ocular Oncology, Orbital Tumors.