This case demonstrates that the ipsilateral mononostril transethmoidal approach is a safe and effective option for select orbital apex cavernous hemangiomas. It provides direct access to the medial orbital apex with minimal morbidity and rapid recovery. Successful outcomes depend on multidisciplinary collaboration, careful planning, and appropriate patient selection. https://thejns.org/doi/abs/10.3171/CASE251038.
Kavakli et al. (2026) studied this question.