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Updated: Jan 21, 2026
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
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Endoscopic endonasal skull base surgery for pediatric brain tumors
Yong Hwy Kim1, Ji Yeoun Lee1,2,3, Ji Hoon Phi1,2
1Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Summary
Endoscopic endonasal skull base surgery (EES) is feasible in pediatric brain tumors, achieving high resection rates and improved vision. Careful pre- and postoperative evaluation is crucial due to frequent endocrinological deficits.
Area of Science:
- Pediatric Neurosurgery
- Skull Base Surgery
- Endoscopic Surgery
Background:
- Endoscopic endonasal skull base surgery (EES) is established in adults.
- Its role in pediatric brain tumors remains less defined.
Purpose of the Study:
- To evaluate the feasibility and outcomes of EES in children with brain tumors.
Main Methods:
- Retrospective review of 82 children undergoing EES for intracranial and skull base tumors (July 2010 - October 2018).
- Analysis of clinical features, surgical outcomes, and complications.
Main Results:
- Gross total resection achieved in 90.9% of 55 patients.
- Vision improved in 76.1% of patients with visual impairments.
- Common complications included meningitis (7.3%) and CSF leakage (2.4%).
Conclusions:
- EES offers favorable neurological outcomes with acceptable risk in pediatric brain tumors.
- High incidence of endocrinological deficits necessitates thorough pre- and postoperative assessment.
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