Safety and feasibility of the endoscopic endonasal approach to anterior skull base tumour resections in young children

• DOI: 10.4193/rhin24.494
• Publication Date: 2025-03-14T16:34:42Z
• Authors: M Castellanos; D K Lerner; S A Hamimi; A D Workman; J E Douglas; M A Kohanski; P B Storm; J N Palmer; N D Adappa
• Keywords: Neurovascular bundle; Cerebrospinal fluid leak; Endoscopic endonasal surgery

Tumours of the anterior skull base present unique surgical challenges due to critical neurovascular proximity and developing cranial anatomy. While open transcranial approaches (TCAs) have traditionally been used for these tumors, endoscopic endonasal approach (EEA) is preferred reduced morbidity higher gross total resection (GTR) rates (1). Studies report excellent GTR reconstructive outcomes with EEA in under-18 paediatric population, complications including cerebrospinal fluid (CSF) leak, meningitis, stroke being relatively rare (2-5). However, limitations anatomy, restricted sphenoid pneumatization, narrower nasal apertures, smaller nasoseptal flaps (NSFs), contribute hesitancy adopting younger patients (6,7). Minimal evidence focuses on young pediatric particular. This study evaluates EEAs pathologies patients.