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Endoscopic endonasal skull base surgery in the pediatric population
Srinivas Chivukula1, Maria Koutourousiou, Carl H Snyderman
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Journal of Neurosurgery. Pediatrics
|December 18, 2012
Summary
Endoscopic endonasal surgery (EES) is safe and effective for pediatric skull base pathologies. This approach can achieve optimal outcomes in children when indicated.
Area of Science:
- Neurosurgery
- Otolaryngology
- Pediatric Surgery
Background:
- Pediatric skull base surgery presents unique challenges.
- Endoscopic endonasal surgery (EES) has not been well described in this population.
Purpose of the Study:
- To review the authors' experience with EES in pediatric skull base surgery.
- To assess surgical outcomes and complications in pediatric patients undergoing EES.
Main Methods:
- Retrospective review of 133 pediatric patients.
- 171 EES procedures performed between July 1999 and May 2011.
- Analysis of patient demographics, pathologies, surgical outcomes, and complications.
Main Results:
- EES was performed for various skull base tumors and bony lesions.
- Gross-total resection rates varied by pathology.
- Complications included CSF leak, meningitis, and diabetes insipidus.
- Neurological dysfunction improved in a majority of patients with bony abnormalities.
Conclusions:
- Endoscopic endonasal surgery is a safe and feasible approach for pediatric skull base pathologies.
- EES can achieve optimal outcomes in the pediatric population when appropriately indicated.
