Transcranial Approach to the Orbit

The transcranial approach to the orbit requires specialized knowledge, skill, and instrumentation. It can be performed by neurosurgeons but is commonly approached collaboratively, with an orbital, skull base, and/or craniofacial plastic surgeon joining the neurosurgical team to provide specialized skills. The role of the ophthalmic plastic surgeon, as an orbital specialist, includes preoperative evaluation and planning, intraoperative anatomic expertise, and postoperative care.