Tran Ann Q, Kazim Michael
Oculoplastic and Orbital Surgery, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York, United States.
J Neurol Surg B Skull Base. 2021 Feb;82(1):142-148. doi: 10.1055/s-0040-1722637. Epub 2021 Mar 1.
Pediatric orbital and skull base surgery comprises a wide array of tumors. An understanding of the location of the lesion, nature of the disease, and surrounding anatomy is paramount to surgical planning in these small spaces. The goals of pediatric skull base surgery are to avoid injury to the surrounding structures, minimize cosmetic deformities, and remove some or all of the tumors based on anticipated pathology and biologic cost of removal. Safe surgery on many of these tumors requires an understanding of the location of the lesion relative to the optic nerve or orbit. This is particularly challenging because the dimensions of the orbital confines change continuously as one navigates from rostral to caudal. Management of these tumors may require a multidisciplinary approach including orbital surgery, neurosurgery, otolaryngology, oral maxillofacial surgery, plastic surgery, and interventional neuroradiology.
小儿眼眶及颅底手术包含多种肿瘤。了解病变的位置、疾病的性质以及周围的解剖结构对于在这些狭小空间进行手术规划至关重要。小儿颅底手术的目标是避免损伤周围结构，将美容畸形降至最低，并根据预期的病理情况和切除的生物学代价切除部分或全部肿瘤。对许多此类肿瘤进行安全手术需要了解病变相对于视神经或眼眶的位置。这尤其具有挑战性，因为当从嘴部向尾部移动时，眼眶边界的尺寸会不断变化。这些肿瘤的治疗可能需要多学科方法，包括眼眶手术、神经外科、耳鼻喉科、口腔颌面外科、整形手术和介入神经放射学。
