2018 AANS Annual Scientific Meeting-Point/Counterpoint Session: Pediatric Skull Base Surgery: Expanded Endonasal Approaches

Point/Counterpoint Session: Pediatric Skull Base Surgery: Expanded Endonasal Approaches

Video Transcription

Video Summary

In this video, Dr. Tyler Cabrera discusses pediatric skull base surgery and the advantages of using endonasal approaches. He emphasizes that endoscopic surgery has not replaced open skull base surgery but has become a valuable tool in the field of pediatric skull base surgery. Dr. Cabrera shares his experience with various cases, including a 19-month-old with a craniopharyngioma and a 5-year-old with a chordoma. He discusses the use of different techniques such as nasal flaps, paracranial flaps, image guidance, and hemostasis to ensure successful surgeries with minimal blood loss. The video also mentions the high rate of CSF leaks as a major drawback of endoscopic approaches. Dr. Cabrera concludes by highlighting the benefits of the endoscopic approach, such as improved visualization of critical structures and positive outcomes in terms of visual improvement and minimal disfigurement. He also emphasizes the importance of a team approach and having the skills to perform open surgery when necessary. Credits were given to Dr. Gardner-Sneiderman, Fernandez-Miranda, and Dr. Wang.

Asset Caption

Elizabeth C. Tyler-Kabara, MD, PhD, FAANS

Keywords

pediatric skull base surgery

endonasal approaches

endoscopic surgery

nasal flaps

CSF leaks