Various surgical approaches have been employed in the management of supraorbital ethmoidal mucoceles. The choice depends on the routes of disease extension and on the causative factors. Localization of supraorbital ethmoidal mucoceles to the lateral portion of the frontal sinus has been treated mainly by the conventional or advanced Draf sinusotomy approaches. We introduce a simple technique to connect supraorbital ethmoidal mucoceles into the proximal part of the frontal sinus.

Transorbital endoscopic technique was used to treat two patients with supraorbital ethmoidal mucoceles, sparing the medial portion of the frontal sinus and the ostiomeatal complex. With this novel technique, two separate trocars were entered through the orbital wall of the frontal sinus. A nasal endoscope and a forceps were entered through lateral and medial trocars, respectively, to remove the medial wall of the mucocele.

Intra- and postoperative periods were uneventful and long-term follow-up showed no recurrence of the lesions.

Transorbital endoscopic technique could be judiciously employed as an effective and cosmetically excellent alternative to previous endonasal and external methods in selected cases of far remote-access supraorbital ethmoidal and lateral frontal mucoceles.