Endoscopic endonasal skull base surgery in pediatric patients. A single center experience (original) (raw)

2018, Journal of Cranio-maxillofacial Surgery

S kull base lesions comprise a range of pathologies of neural, mesenchymal, notochordal, vascular, and, sometimes, epithelial origin. Such lesions are relatively rare in children and are mostly benign. 40 However, benign tumors can grow to exert mass effect and cause significant morbidity. 4 In many of these cases, excision is mandatory for their management. Additionally, skull base trauma may result in rhinorrhea requiring surgical repair. Pathology and trauma to the anterior cranial base have historically been approached via craniofacial resections. Although variations on this technique exist, most invariably involve a craniotomy, a transfacial approach, or a combined craniofacial approach. 26,41,60,61 Deep lesions may require brain retraction, heightening the risk of frontal lobe edema, infection, pneumocephalus, and other complications. 24,26 These approaches in children pose at Endoscopic endonasal skull base surgery in the pediatric population Clinical article