Lateral Skull Base Approaches in Pediatric Skull Base Surgery

Kazahaya, Ken

doi:10.1055/s-0038-1624572

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…23 For lateral skull base (transpetrous) approaches, considerations include the possible lack of mastoid pneumatization in children and a lower rate of cerebrospinal fluid leakage. 24 One study found that the degree of sphenoid pneumatization did not affect outcome in children who underwent endoscopic endonasal resection of craniopharyngioma, 25 although it remains an important age-related consideration and may be a critical factor in approach selection. More generally, hemostasis is of particular importance in children because they have smaller circulating blood volume, and relatively immature prominent bony facial features may affect the accuracy of neuronavigation.…”

Section: Discussionmentioning

confidence: 99%

“… 23 For lateral skull base (transpetrous) approaches, considerations include the possible lack of mastoid pneumatization in children and a lower rate of cerebrospinal fluid leakage. 24 …”

Section: Discussionmentioning

confidence: 99%

“…More generally, hemostasis is of particular importance in children because they have smaller circulating blood volume, and relatively immature prominent bony facial features may affect the accuracy of neuronavigation. 23 , 24 , 26 Finally, it must not be overlooked that pediatric skull base tumors represent only approximately 5% of skull base tumors overall (with differing pathology), and their surgical management has received little attention in the neurosurgical literature. 23 , 26 The rarity of pediatric skull base surgery necessitates the involvement of a multidisciplinary team, meticulous preoperative planning, and often collaboration between an adult skull base neurosurgeon and a pediatric neurosurgeon.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric multicompartmental trigeminal schwannoma: illustrative case

Landry

Vaughan

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Trigeminal schwannoma (TS) is an uncommon and histologically benign intracranial lesion that can involve any segment of the fifth cranial nerve. Given its often impressive size at diagnosis and frequent involvement of critical neurovascular structures of the skull base, it represents a challenging entity to treat. Pediatric TS is particularly rare and presents unique challenges. Similarly, tumors with extension into multiple compartments (e.g., middle cranial fossa, posterior cranial fossa, extracranial spaces) are notoriously difficult to treat surgically. Combined or staged surgical approaches are typically required to address them, with radiosurgical treatment as an adjunct. OBSERVATIONS The authors presented the unusual case of a 9-year-old boy with a large, recurrent multicompartmental TS involving Meckel’s cave, the cerebellopontine angle, and the infratemporal fossa. Near-total resection was achieved using a frontotemporal-orbitozygomatic craniotomy with a combined interdural and extradural approach. LESSONS The case report adds to the current literature on multicompartmental TSs in children and their management. The authors also provided a simplified classification of TS that can be generalized to other skull base tumors. Given a lack of precedent, the authors intended to add to the discussion regarding surgical management of these rare and challenging skull base lesions.

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Section: Discussionmentioning

confidence: 99%

“… 23 For lateral skull base (transpetrous) approaches, considerations include the possible lack of mastoid pneumatization in children and a lower rate of cerebrospinal fluid leakage. 24 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pediatric multicompartmental trigeminal schwannoma: illustrative case

Landry

Vaughan

et al. 2021

Journal of Neurosurgery: Case Lessons

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“…[13][14][15][16][17] However, few studies are Pattern of malignant head and neck tumors among children in a Nigerian Teaching Hospital Edetanlen Benlance E et al reported in sub-Saharan Africa. 18,19,20 Hence, this present study evaluated the pattern of malignant head and neck tumors among children in the south-south geopolitical region of Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Pattern of malignant head and neck tumors among children in a Nigerian Teaching Hospital

Edetanlen¹,

Israel-Aina²,

Babalola³

2022

Nig. J. Paed.

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Background: The pattern of head and neck cancer in children are well documented among Caucasians and the Orientals but this cannot be said among African children especially in developing country like Nigeria. Aim: To evaluate the pattern of malignant head and neck tumours among children in a Nigerian Teaching Hospital. Method: A retrospective study of cases of head and neck childhood malignancies at the University of Benin Teaching Hospital, Benin- City, Nigeria over a 12-year period, from January 2009 to December 2020. Results: A total of 127 children with head and neck malignant tumours were seen in this period. The mean age of children was 5.27±4.72 years (age range, 0.3 to 18 years). There were 83(65.4%) males and 44(34.6%) females. The most frequently seen tumour was retinoblastoma (44.1%) and this was followed by rhabdomyosarcoma (18.1%) and Burkitt’s lymphoma (16.5%). Apart from Burkitt’s lymphoma that was commonest in the 6-12 years group, all other cancers were most frequent during the 0-5 years. The peak incidence of cases was seen in 2015 followed by 2016 and 2019. Regarding the outcome of the treatment, 8(6.3%) of the patients died of their disease while just only 1 (0.8%) was discharged against medical advice Conclusion: Retinoblastoma followed by rhabdomyosarcoma and Burkitt’s lymphoma were the most common tumors in study locality.

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