Pediatric endoscopic skull base surgery
Pediatric endoscopic skull base surgery
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DOI：
10.1097/moo.0b013e3283401fdc
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发表时间：
2010-12-01
影响因子：
1.6
通讯作者：
Moore, Eric J.
中科院分区：
文献类型：
--
作者：
Munson, Patrick D.;Moore, Eric J.
回顾：儿童内窥镜颅底手术改变了目前儿童鼻腔和颅底疾病的治疗方法。本文综述了近年来有关儿科ESB的研究文献，包括其实用性和局限性。儿科人群中的特殊考虑包括图像引导技术的使用、潜在的解剖通路限制，以及使用带血管蒂皮瓣重建颅底以防止脑脊液泄漏。随着经验和技术的发展，内窥镜颅底手术的适应症不断扩大。摘要儿童内窥镜颅底手术是一种基于成人颅底经验的成熟技术。尽管有一定的局限性，但目前的文献建议考虑对许多鼻窦和颅底病变采用这种入路。需要进一步的研究来确定患者的长期结果。
Purpose of reviewPediatric endoscopic skull base surgery (ESBS) has changed the current management of pediatric sinonasal and skull base disorders. This review focuses on the recent literature exploring pediatric ESBS, including its utility and limitations.Recent findingsPediatric ESBS has been established as a safe and feasible technique for a variety of disease states. Special considerations in the pediatric populations include the use of image guidance technology, potential anatomic access limitations, and skull base reconstruction with vascularized flaps to prevent cerebrospinal fluid leak. The indications for endoscopic skull base surgery continue to expand as experience and technology evolve.SummaryPediatric endoscopic skull base surgery is a proven technique established upon adult skull base experience. Despite certain limitations, the current literature would recommend consideration for this approach for many sinonasal and skull base lesions. Further research is required to determine long-term patient outcomes.