Abstract
Orbital abscess is rare, but may result in fatal complications (meningitis, epidural abscess, subdural abscess, intracerebral abscess, cavernous sinus thrombosis) without proper treatment. We report 4 cases with orbital abscess who underwent endoscopic surgery and present the clinical history, bacte-riology and route of infection. Orbital abscess often shows a tumor-like shadow in the orbit on com-puted tomography, so surgical approaches are necessary for treatment and correct diagnosis.