Dutta Sanjeev, Lorenz H Peter, Albanese Craig T
Division of Pediatric Surgery, Department of Surgery, Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, CA 94305-5733, USA.
J Pediatr Surg. 2006 Nov;41(11):1874-8. doi: 10.1016/j.jpedsurg.2006.06.047.
Benign tumors of the brow and forehead are commonly managed by pediatric general surgeons by excision through an overlying incision. Cosmetic results in children can be suboptimal. Plastic surgeons have used endoscopic brow-lift techniques for the removal of these lesions. We review our experience after adopting this endoscopic technique in a pediatric general surgery practice.
We conducted a retrospective chart review of 9 consecutive outpatient procedures (5 girls and 4 boys; age range, 5 months to 12 years) between March and October 2005. Seven patients had lesions located on the lateral brow (left, n = 4; right, n = 3), 1 patient had a lesion on the left mid forehead, and 1 patient had a nasoglabellar cyst. All procedures were performed using endoscopic brow-lift equipment through a single small scalp incision 2 cm posterior to the hairline. Outcome measures included need for conversion, operative time, cosmetic outcome, and complications.
All lesions (6 dermoid cysts and 3 pilomatrixomas) were successfully excised endoscopically. The mean operative time was 56 minutes (range, 22-90 minutes). There was no intraoperative or postoperative complication. All families were pleased with the cosmetic outcomes.
This case report shows that endoscopic excision of forehead masses is a safe and efficacious procedure in the hands of pediatric general surgeons.
小儿普通外科医生通常通过覆盖病变的切口切除眉部和额部的良性肿瘤。儿童的美容效果可能不尽人意。整形外科医生已采用内镜下提眉技术来切除这些病变。我们回顾了在小儿普通外科实践中采用这种内镜技术后的经验。
我们对2005年3月至10月间连续进行的9例门诊手术（5名女孩和4名男孩；年龄范围为5个月至12岁）进行了回顾性病历审查。7例患者的病变位于眉外侧（左侧4例，右侧3例），1例患者的病变位于左额中部，1例患者有鼻根囊肿。所有手术均通过发际线后方2 cm处的单个小头皮切口，使用内镜下提眉设备进行。观察指标包括是否需要中转手术、手术时间、美容效果和并发症。
所有病变（6个皮样囊肿和3个毛母质瘤）均通过内镜成功切除。平均手术时间为56分钟（范围为22 - 90分钟）。无术中或术后并发症。所有家庭对美容效果都很满意。
本病例报告表明，小儿普通外科医生采用内镜切除额部肿物是一种安全有效的手术方法。
