Transcutaneous or transconjunctival approaches offer fine surgery field to the repair of orbital fractures, yet remaining invasively surgical scar. Nasal endoscopy achieves great success in diagnosis and reduction of isolated orbital wall fractures, as well as better view of fractures of posterior orbital wall fractures and orbital contents entrapped into sinus, owing to accessible and minimally invasive surgical approaches and excellent illumination. Endoscopic sinus approach associated with transcutaneous or transconjunctival excisions represent advantages in repairing fractures of naso-orbital-ethmoidal complex. Here we review the diagnostic value, strengths and weaknesses, clinical indications, surgical technique, implant materials and fixation materials involving in nasal en - doscopy repairing orbital fractures.
