Combined transorbital neuroendoscopic and endoscopic endonasal resection of orbital hemangioma

Orbital cavernous hemangiomas are the most common benign primary neoplasm of the orbit in adults and can lead to proptosis and optic neuropathy. Resection is the primary treatment for symptomatic cases. Choice of surgical approach depends on the lesion's size, location, and relation to intraorbital structures. The authors present the case of a 40-year-old male with a large symptomatic orbital hemangioma resected through a combined endoscopic transorbital and endonasal approach. This case highlights the advantages of the combined approach, enhancing visibility and minimizing disruption of orbital structures, allowing for en bloc resection of large orbital hemangiomas. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24197.