Purpose: To report the results of anterior orbitotomy through a vertical transmarginal upper eyelid incision for gaining access to superonasal intraorbital lesions.
Methods: Retrospective case series of 13 patients presenting with superonasal intraorbital lesions.
Results: Vertical transmarginal upper eyelid incision allowed biopsy or removal of orbital lesions in all cases with satisfactory postoperative cosmesis and function.
Conclusion: The vertical lid split orbitotomy, initially described for anterior orbital lesions, also is useful for exposure and removal of deeper intraconal orbital masses.