Türk Nöroşirürji Dergisi 2023 , Vol 33 , Num 1
Endoscopic Skull Base Surgery in Childhood Cases: Differences from Adult Cases
1Özel Medikar Hastanesi, Beyin ve Sinir Cerrahisi Ünitesi, Karabük, Türkiye
2Ankara Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye
Skull base surgery is performed for many pathologies such as congenital malformations, tumors, neurovascular pathologies, and traumas in the pediatric population. Endonasal endoscopic approaches have also become applicable in the pediatric population for benign and malignant skull base pathologies. Endoscopic approaches are minimally invasive methods that have a distinct advantage over classical approaches in terms of preventing deterioration in the development of craniofacial bone structures in pediatric cases. The endoscopic endonasal approach also has several advantages such as not requiring brain retraction, no incision scars, no need for external craniotomy, faster recovery, and less hospitalization. Small nostrils, narrow sinonasal cavities, small vestibules, and decreased pneumatization of the sphenoid sinuses are the main anatomical differences that complicate access in the pediatric population compared to endoscopic approaches applied to adult patients. Because of these differences in pediatric cases, it may be necessary to use smaller equipment and atraumatic techniques for small nostrils, and to create and shape artificial sphenoid sinuses by drilling in cases that have not yet been pneumatized. Anahtar Kelimeler : Endoscopic, Pediatric, Skull base, Surgery