Endoscopia endonasal de base de cráneo

Simal-Julián, Juan Antonio; Miranda-Lloret, Pablo; Pancucci, Giovanni; Evangelista-Zamora, Rocío; Pérez-Borredá, Pedro; Sanromán-Álvarez, Pablo; Perez-de-Sanromán, Laila; Botella-Asunción, Carlos

doi:10.1016/j.neucir.2013.05.002

Cited by 3 publications

(7 citation statements)

References 23 publications

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“…Traditional microscopic surgery for children with craniopharyngiomas has been well developed and includes various supratentorial approaches ( 4 , 5 , 7 , 10 ). However, these approaches are still limited due to their surgical blind areas when operating at sellar or parasellar regions, which may finally compromise to incomplete resection, with residual tumor recurrence and postoperative severe complications caused by increased traction of brain tissue ( 10 , 12 ). Recently, with great advance and increasing application of neuroendoscopy in adult craniopharyngiomas, neuroendoscopy has gradually been applied to the resection of craniopharyngiomas in children ( Table 2 ) ( 5 , 6 , 9 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, these approaches are still limited due to their surgical blind areas when operating at sellar or parasellar regions, which may finally compromise to incomplete resection, with residual tumor recurrence and postoperative severe complications caused by increased traction of brain tissue ( 10 , 12 ). Recently, with great advance and increasing application of neuroendoscopy in adult craniopharyngiomas, neuroendoscopy has gradually been applied to the resection of craniopharyngiomas in children ( Table 2 ) ( 5 , 6 , 9 , 12 ). However, there are fewer surgical cases in pediatrics being reported, and the surgical techniques related to postoperative outcomes and complications as well as the postoperative management of pediatrics are not yet well defined ( 1 , 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…The procedure of putting in or out of surgical instruments may also increase the damage of the nasal mucosa. In addition, there are differences in sphenoid sinus development with different ages ( 9 , 11 , 12 ). The sphenoid cavity pneumatization first appears on the anterior inferior wall of the sphenoid bone.…”

Section: Discussionmentioning

confidence: 99%

“…The younger the patients, the poorer postoperative compliance is confronted in children, and the prevention of postoperative CSF leakage is more difficult than that of adults ( 2 , 5 , 6 , 12 ). Therefore, reliable skull base reconstruction is a vital part of neuroendoscopic endonasal resection of craniopharyngioma in children to avoid CSF nasal leaks and impossible postoperative intracranial infection ( 6 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Recently, with the gradual development and application of neuroendoscopy in adult craniopharyngiomas, neuroendoscopy has gradually been used for pediatrics with different tumor characteristics and different ages, which to some extent complement the defects of the simple transcranial microsurgery for craniopharyngiomas (10)(11)(12). Although some progress has been made, there are still insufficient reports in the literature for the treatment of children via extended neuroendoscopic endonasal resection of craniopharyngioma (6,10,13).…”

Section: Introductionmentioning

confidence: 99%

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Extended Neuroendoscopic Endonasal Approach for Resection of Craniopharyngioma in Children

Xie

et al. 2022

Front. Neurol.

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ObjectiveTo explore the surgical approach and technique of neuroendoscopic endonasal resection of pediatric craniopharyngiomas and to further evaluate its safety and effect in children.MethodsThe clinical data of 8 children with craniopharyngiomas who were surgically treated by neuroendoscopy through an extended endonasal approach in our center from 2018 to 2021 were retrospectively analyzed. The related surgical approach and technique were evaluated to improve the surgical results and further reduce the surgical complications when removing craniopharyngioma in children.ResultsAll 8 patients achieved a gross-total resection of the tumor under neuroendoscopy. Postoperatively, 2 cases of transient hyperthermia and 4 cases of transient hyper- and/or hyponatremia occurred within the first 2 weeks, all of which were quickly controlled. Seven patients had symptoms of diabetes insipidus to varying degrees after the operation, and 4 of them improved within 1–3 months after surgery, but 3 cases still needed oral pituitrin. There were no cases of coma or death, leakage of cerebrospinal fluid, or severe electrolyte imbalance after surgery. During the postoperative follow-up of 3 months to 2 years, no tumor recurrence was found. Among the 7 patients who suffered postoperative neuroendocrine deficiencies, 3 patients were found to be temporary during the follow-up, but 4 patients still required hormone replacement therapy. Particularly, postoperative visual deterioration and olfactory defect that occurred in patients were all improved during follow-up periods. In addition, 4 cases of obesity were noted at the last follow-up.ConclusionsExtended neuroendoscopic endonasal resection of craniopharyngiomas may be used as a safe and effective approach for children. Due to the poor pneumatization of the sphenoid sinus and worse compliance of treatment in children, surgical techniques of exposing the sellar region, removing the tumor, and reconstructing the skull base, as well as postoperative management of patients was proposed. However, due to the limited surgical cases in the study, the surgical safety and effects of the extended neuroendoscopic endonasal approach for children with craniopharyngiomas need to be further studied in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Extended Neuroendoscopic Endonasal Approach for Resection of Craniopharyngioma in Children

Xie

et al. 2022

Front. Neurol.

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CSF leak after pediatric endoscopic endonasal expanded approaches: a series review

Miranda-Lloret¹,

Simal-Julián²,

Román-Mena³

et al. 2023

Childs Nerv Syst

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An Evaluation of YouTube Videos as a Surgical Instructional Tool for Endoscopic Endonasal Approaches in Otolaryngology

2021

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Objectives Online surgical videos are an increasingly popular resource for surgical trainees, especially in the context of the COVID-19 pandemic. Our objective was to assess the instructional quality of the YouTube videos of the transsphenoidal surgical approach (TSA), using LAParoscopic surgery Video Educational Guidelines (LAP-VEGaS). Methods YouTube TSA videos were searched using 5 keywords. Video characteristics were recorded. Two fellowship-trained rhinologists evaluated videos using LAP-VEGaS (scale 0 [worst] to 18 [best]). Results The searches produced 43 unique, unduplicated videos for analysis. Mean video length 7 minutes (standard deviation [SD] = 13), mean viewership was 16 017 views (SD = 29 415), and mean total LAP-VEGaS score was 9 (SD = 3). The LAP-VEGaS criteria with the lowest mean scores were presentation of the positioning of the patient/surgical team (mean = 0.2; SD = 0.6) and the procedure outcomes (mean = 0.4; SD = 0.6). There was substantial interrater agreement (κ = 0.71). Conclusions LAP-VEGaS, initially developed for laparoscopic procedures, is useful for evaluating TSA instructional videos. There is an opportunity to improve the quality of these videos.

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Endoscopia endonasal de base de cráneo

Cited by 3 publications

References 23 publications

Extended Neuroendoscopic Endonasal Approach for Resection of Craniopharyngioma in Children

Extended Neuroendoscopic Endonasal Approach for Resection of Craniopharyngioma in Children

CSF leak after pediatric endoscopic endonasal expanded approaches: a series review

An Evaluation of YouTube Videos as a Surgical Instructional Tool for Endoscopic Endonasal Approaches in Otolaryngology

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