Sammy Khalili1, James N Palmer, Nithin D Adappa. 1. University of Pennsylvania Health System, Children's Hospital of Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, USA *Sammy Khalili and Nithin D. Adappa contributed equally to the writing of this article.
Abstract
PURPOSE OF REVIEW: To review the current literature on the expanded endonasal approach for pediatric skull base lesions. RECENT FINDINGS: This review examines the currently published outcomes of pediatric endoscopic skull base surgery. It specifically reviews the anatomic considerations of pediatric patients, growth considerations in pediatric patients, reconstructive options and limitations, and the use of image guidance. In addition, this review provides some suggestions for approaching skull base lesions in pediatric patients, based on both experience and the current body of literature. SUMMARY: The expanded endonasal approach for pediatric skull base lesions is a well tolerated and reliable method for the treatment of children with midline nasal masses. With improvements in technology and technique, this approach has become increasingly common in high-volume skull base centers as a well tolerated alternative to traditional open approaches.
PURPOSE OF REVIEW: To review the current literature on the expanded endonasal approach for pediatric skull base lesions. RECENT FINDINGS: This review examines the currently published outcomes of pediatric endoscopic skull base surgery. It specifically reviews the anatomic considerations of pediatric patients, growth considerations in pediatric patients, reconstructive options and limitations, and the use of image guidance. In addition, this review provides some suggestions for approaching skull base lesions in pediatric patients, based on both experience and the current body of literature. SUMMARY: The expanded endonasal approach for pediatric skull base lesions is a well tolerated and reliable method for the treatment of children with midline nasal masses. With improvements in technology and technique, this approach has become increasingly common in high-volume skull base centers as a well tolerated alternative to traditional open approaches.
Authors: Chandrashekhar E Deopujari; Nishit J Shah; Salman T Shaikh; Vikram S Karmarkar; Chandan B Mohanty Journal: Childs Nerv Syst Date: 2019-05-12 Impact factor: 1.475