Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (3): 112-117.doi: 10.6040/j.issn.1673-3770.0.2020.233

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Endoscopic surgery for skull base lesions in pediatric patients

WU Zebin1,2Overview,QIU Qianhui1Guidance   

  1. 1. Department of Otorhinolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou 510055, Guangdong, China;
    2. Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong, China
  • Published:2021-05-14

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Abstract: Transnasal endoscopic approaches have been more frequently employed for navigating the natural orifice; this can optimally widen the operative field and, consequently, reduce brain tissue traction and improve surgical efficacy. Surgical interventions of skull base lesions require extensive training and experience, which is usually gained through cadaveric dissection or surgery in adults. Endoscopic surgery for skull base lesions in pediatric patients can be safe but challenging due to the sinonasal and skull base embryology, developmental anatomies, and invasion of critical structures. This review facilitates a better understanding of age-dependent endoscopic surgery by discussing pediatric skull base anatomies and lesions, endoscopic approaches, management complications, skull base reconstruction, and selected pathologies and conditions, among others.

Key words: Pediatric, Skull base, Endonasal approach, Endoscopic surgery, Reconstruction

CLC Number: 

  • R765
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