A Systematic Review Comparing Endoscopic and Open Approaches in Orbital Fracture Surgery.

The search identified 266 records.

Seven studies met inclusion criteria, encompassing 538 patients (open: n = 340; endoscopic: n = 198).

Postoperative enophthalmos, evaluated in 6 studies, was also less frequent after endoscopic repair (odds ratio = 0.32; 95% CI: 0.13-0.79; p = 0.01).

Endoscopic orbital floor fracture repair demonstrated lower postoperative incidence of diplopia and enophthalmos compared with open approaches, with statistically significant pooled effects and low to moderate heterogeneity.