Based on these multiple reports, it is clear that the endoscope provides an efficient method to visualize and manage orbital wall fractures. It has shown to be especially important in reducing operative time, soft tissue manipulation, and hemorrhage. The potential for external scarring may be eliminated completely. Visualization and illumination is enhanced for the surgeon and his/her entire operating team. Morbidity is reduced and hospitalization time may be decreased significantly. The authors' experience suggests that the endonasal endoscopic approach is a useful adjunct to the transconjunctival approach, and may eliminate potential complications associated with transantral-Caldwell-Luc approaches, such as recurrent sinusitis, papillomas, and possibly infraorbital hypesthesia [17,18]. The endoscope is especially useful in the treatment of posterior fractures or secondary repairs for residual enophthalmos. The disadvantages are few, but may include a requirement of special equipment and a steeper learning curve in the beginning.