PDF(Pubmed)
Abstract：
Originally pioneered in adults, endoscopic endonasal approaches for skull base pathology are being increasingly applied as a minimally invasive alternative for young children. Intrinsic anatomic differences between these patient populations have sparked discussions on the feasibility, safety, and efficacy of these techniques in pediatric patients. This work aims to serve as a primer for clinicians engaged in the rapidly evolving field of pediatric endoscopic skull base surgery. A succinct overview of relevant embryology, sinonasal anatomy, and diagnostic workup is presented to emphasize key differences and unique technical considerations. Additional discussions regarding select skull base lesions, reconstructive paradigms, potential surgical complications, and postoperative care are also highlighted in the setting of multidisciplinary teams.
摘要：
最初是成年人的先驱，内镜经鼻入路治疗颅底病变越来越多地被应用于幼儿的微创治疗.这些患者人群之间的内在解剖差异引发了关于可行性的讨论，安全,以及这些技术在儿科患者中的疗效。这项工作旨在为从事快速发展的小儿内窥镜颅底手术领域的临床医生提供指导。相关胚胎学的简明概述，鼻窦解剖,和诊断检查是为了强调关键的差异和独特的技术考虑。关于选定颅底病变的其他讨论，重建范式，潜在的手术并发症，术后护理在多学科团队的设置中也很突出。
