扩大经鼻入路治疗小儿颅内颅底疾病
The expanded endonasal approach for the treatment of intracranial skull base disease in the pediatric population.
作者信息
Khalili Sammy, Palmer James N, Adappa Nithin D
机构信息
University of Pennsylvania Health System, Children's Hospital of Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, USA *Sammy Khalili and Nithin D. Adappa contributed equally to the writing of this article.
出版信息
Curr Opin Otolaryngol Head Neck Surg. 2015 Feb;23(1):65-70. doi: 10.1097/MOO.0000000000000126.
PURPOSE OF REVIEW
To review the current literature on the expanded endonasal approach for pediatric skull base lesions.
RECENT FINDINGS
This review examines the currently published outcomes of pediatric endoscopic skull base surgery. It specifically reviews the anatomic considerations of pediatric patients, growth considerations in pediatric patients, reconstructive options and limitations, and the use of image guidance. In addition, this review provides some suggestions for approaching skull base lesions in pediatric patients, based on both experience and the current body of literature.
SUMMARY
The expanded endonasal approach for pediatric skull base lesions is a well tolerated and reliable method for the treatment of children with midline nasal masses. With improvements in technology and technique, this approach has become increasingly common in high-volume skull base centers as a well tolerated alternative to traditional open approaches.
综述目的
回顾当前关于小儿颅底病变扩大经鼻入路的文献。
最新发现
本综述审视了目前已发表的小儿内镜颅底手术的结果。具体回顾了小儿患者的解剖学考量、小儿患者的生长发育考量、重建选择及局限性，以及影像引导的应用。此外，本综述基于经验和当前文献为处理小儿颅底病变提供了一些建议。
总结
小儿颅底病变的扩大经鼻入路是治疗中线鼻腔肿物患儿耐受性良好且可靠的方法。随着技术和技巧的改进，作为传统开放入路耐受性良好的替代方法，这种入路在高容量颅底中心越来越普遍。
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