Endoscopic surgery is expanding rapidly, particularly within the field of otolaryngology. The repair of the orbital floor fractures through an endoscopic approach has been performed successfully by several centers. It is technically demanding and requires expertise in traditional repair of orbital floor fractures and endoscopy. The surgical technique, patient selection, instrumentation, and postoperative results will continue to evolve as more surgeons attempt this technique. As more data are obtained, it will be important to compare the results with the traditional open approach, which has a proven track record with low complication rates. The endoscopic approach, however, appears to be a promising new technique for isolated trap door and medial orbital floor fractures.
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