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Is there a place for the endoscope in skull base surgery in children less than 5 years?


Holzmann, David; Bozinov, Oliver; Krayenbühl, Niklaus (2012). Is there a place for the endoscope in skull base surgery in children less than 5 years? Journal of Neurological Surgery. Part A: Central European Neurosurgery, 75(02):133-139.

Abstract

Background The impact of transnasal endoscopic approaches to the central skull is still increasing. Its use in small children (i.e., under the age of 5 years) is of questionable value.Patients and Methods The present study is a description of a series of five children under the age of 5 years with lesions of the central skull base.Results Three out of five required a combined external and transnasal endoscopic approach. The transnasal access to the central skull base allowed reducing tissue damage and potentially may reduce growth deceleration.Discussion Based on our experience on this small series we suggest that a transnasal endoscopic approach to the anterior and central skull base can be applied even in small children. To successfully operate on such delicate pathologies, a well-working interdisciplinary cooperation is mandatory.

Abstract

Background The impact of transnasal endoscopic approaches to the central skull is still increasing. Its use in small children (i.e., under the age of 5 years) is of questionable value.Patients and Methods The present study is a description of a series of five children under the age of 5 years with lesions of the central skull base.Results Three out of five required a combined external and transnasal endoscopic approach. The transnasal access to the central skull base allowed reducing tissue damage and potentially may reduce growth deceleration.Discussion Based on our experience on this small series we suggest that a transnasal endoscopic approach to the anterior and central skull base can be applied even in small children. To successfully operate on such delicate pathologies, a well-working interdisciplinary cooperation is mandatory.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:October 2012
Deposited On:03 Jan 2013 09:51
Last Modified:07 Dec 2017 17:58
Publisher:Thieme Publishing
ISSN:2193-6315
Publisher DOI:https://doi.org/10.1055/s-0032-1327442
PubMed ID:23042142

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