title: The trans-septal approach to the orbital apex via the contralateral exenterated orbit.
abstract: OBJECTIVE
  To report a unique approach to the orbital apex through the contralateral orbit.
  
  
  METHODS
  A 65-year-old male presented with right compressive optic neuropathy due to nasopharyngeal carcinoma spread. Clinical evaluation and imaging showed a right orbital apex mass. Surgery included apical orbital tumor debulking, and orbital decompression performed via the contralateral exenterated side. Postoperatively, symptoms were relieved.
  
  
  CONCLUSIONS
  Orbitotomy via the contralateral exenterated orbit should be considered as a surgical option in these unique patients requiring direct access to the orbital apex.
authors.affiliation: Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Center, University of California, San Diego, CA 92093-0946, USA.
authors.forename: Ayelet
authors.initials: A
authors.lastname: Priel
authors.forename: Sang-Rog
authors.initials: SR
authors.lastname: Oh
authors.forename: Bobby S
authors.initials: BS
authors.lastname: Korn
authors.forename: Don O
authors.initials: DO
authors.lastname: Kikkawa
mesh_terms: D000368:Aged; D002277:Carcinoma; D019299:Decompression, Surgical; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D000077274:Nasopharyngeal Carcinoma; D009303:Nasopharyngeal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017233:Orbit Evisceration; D009918:Orbital Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*