Anatomical considerations for endoscopic endonasal skull base surgery in pediatric patients

2010 ◽  
Vol 120 (9) ◽  
pp. 1730-1737 ◽  
Author(s):  
Jason R. Tatreau ◽  
Mihir R. Patel ◽  
Rupali N. Shah ◽  
Kibwei A. McKinney ◽  
Stephen A. Wheless ◽  
...  
Keyword(s):  
Skull Base ◽  
Pediatric Patients ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal

138 Endoscopic Endonasal Skull Base Surgery in Pediatric Patients and Impact on Midface Growth

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 232-232
Author(s):  
Wendy Chen ◽  
Shih-Dun Liu ◽  
Barton F Branstetter ◽  
Yue-Fang Chang ◽  
Lindsay A Schuster ◽  
...  
Keyword(s):  
Skull Base ◽  
Pediatric Patients ◽  
Skull Base Surgery ◽  
Score Test ◽  
Growth Period ◽  
Cranial Base ◽  
Tumor Type ◽  
Endoscopic Endonasal ◽  
Significant Difference ◽  
Maxilla And Mandible

Abstract INTRODUCTION Cranial base development plays a large role in anterior and vertical maxillary growth through age 7, and the effect of early endonasal cranial base surgery on midface growth is unknown. We present our experience with pediatric endoscopic endonasal surgery and long-term midface growth. METHODS This is a retrospective review (2000-2016). Pediatric patients were grouped by age at first endoscopic endonasal skull base surgery (<7 yo and >7 yo). Included patients had both pre- and post-operative (>1 yr) imaging. Radiologists performed measurements (Sella-Nasion distance and angles from S-N to maxilla and mandible (SNA, SNB, ANB)), which were compared to age- and sex-matched Bolton standards. Z score test was used; significance was set at P < 0.05. RESULTS >The <7 yo group had 11 patients, averaging follow-up of 5 yrs; the >7 yo group had 33 patients. Most tumors were benign; one patient with a panclival AVM was a significant outlier for all measurements. Comparing the <7 yo group to Bolton standard norms, there was no significant difference in post-operative SNA (P = 0.10), SNB (P = 0.14), or ANB (0.67). SN distance was reduced both pre- and post-operatively (SD = 1.5, P = 0.01 and P = 0.009). Sex had no significant effect. Compared to patients who had surgery in the >7 yo group, the <7 yo group demonstrated no significant difference in pre- to post-operative changes with regard to S-N (P = 0.87), SNA (P = 0.89), and ANB (P = 0.14). Tumor type (craniopharyngioma, angiofibroma, and other types) had no significant effect in either age group. CONCLUSION Though our cohort of patients with skull base tumors demonstrate some abnormal measurements before their operation, their post-operative cephalometrics fall within normal standard deviations and generally have no significant difference compared to patients who underwent operations at an older age. Therefore, there appears to be no evidence of impact of endoscopic endonasal skull base surgery on craniofacial development within the growth period studied.

scholarly journals Endoscopic Endonasal Skull Base Surgery in Pediatric Patients. Review of the First Experience

2017 ◽  
Vol 78 (S 01) ◽  
pp. S1-S156
Author(s):  
Bakhtiyar Pashaev ◽  
Valery Danilov ◽  
Vladimir Ivanov ◽  
Elza Fatikhova ◽  
Jamil Rzaev ◽  
...  
Keyword(s):  
Skull Base ◽  
Pediatric Patients ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal

Endoscopic endonasal skull base surgery in pediatric patients. A single center experience

2018 ◽  
Vol 46 (12) ◽  
pp. 2017-2021 ◽  
Author(s):  
Filippo Giovannetti ◽  
Federico Mussa ◽  
Paolo Priore ◽  
Mirko Scagnet ◽  
Elena Arcovio ◽  
...  
Keyword(s):  
Skull Base ◽  
Pediatric Patients ◽  
Skull Base Surgery ◽  
Single Center ◽  
Endoscopic Endonasal ◽  
Single Center Experience

Anatomical Limitations for Endoscopic Endonasal Skull Base Surgery in Pediatric Patients

2010 ◽  
Vol 120 (S4) ◽  
pp. S229-S229 ◽  
Author(s):  
Jason R. Tatreau ◽  
Mihir R. Patel ◽  
Rupali N. Shah ◽  
Kibwei A. McKinney ◽  
Adam M. Zanation
Keyword(s):  
Skull Base ◽  
Pediatric Patients ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal

Iatrogenic Mucosal Injury during Endoscopic Endonasal Skull Base Surgery

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
James Byrd ◽  
Eric Wang ◽  
Juan Fernandez-Miranda ◽  
Paul Gardner ◽  
Carl Snyderman
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Mucosal Injury ◽  
Endoscopic Endonasal
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