TY - JOUR
T1 - Application of the orbito-cranial approach in pediatric neurosurgery
AU - Siomin, Vitaly
AU - Spektor, Sergey
AU - Beni-Adani, Liana
AU - Constantini, Shlomi
PY - 2001
Y1 - 2001
N2 - Objective: This study evaluates the benefits of and indications for the orbito-cranial approach (OCA) in pediatric patients. Methods and results: The authors report their recent experience of using the OCA in 9 pediatric patients, 6 boys and 3 girls. The patients' ages ranged from 3 to 17 years (mean 9.6±5.16 years). Follow-up periods varied between 6 and 21 months (mean 12.6±5.9 months). Five patients were operated on for cranio-pharyngiomas, 2 for chiasmatic-hypothalamic astrocytomas, 1 for a recurrent hypothalamic gangliocytoma, and 1 for a hypothalamic hamartoma. In 7 cases a neuronavigation system (BrainLab) was utilized. The lesions were removed totally in 5 patients, near-totally in 1, subtotally in 2, and partially in 1 patient. An average increase of 30% in the area of vertical exposure significantly decreased the need for brain retraction. There was no mortality in this series. The only complications connected with the surgical approach were transient subgaleal cerebro-spinal fluid collections in 7 of 9 children and a subgaleal-peritoneal shunt placement in another patient. Conclusions: Our experience with this series of patients suggests that the OCA is as safe and beneficial in pediatric patients as it is in adults. It facilitates tumor removal by providing shorter access to and better exposure of the suprasellar area, thereby minimizing brain retraction.
AB - Objective: This study evaluates the benefits of and indications for the orbito-cranial approach (OCA) in pediatric patients. Methods and results: The authors report their recent experience of using the OCA in 9 pediatric patients, 6 boys and 3 girls. The patients' ages ranged from 3 to 17 years (mean 9.6±5.16 years). Follow-up periods varied between 6 and 21 months (mean 12.6±5.9 months). Five patients were operated on for cranio-pharyngiomas, 2 for chiasmatic-hypothalamic astrocytomas, 1 for a recurrent hypothalamic gangliocytoma, and 1 for a hypothalamic hamartoma. In 7 cases a neuronavigation system (BrainLab) was utilized. The lesions were removed totally in 5 patients, near-totally in 1, subtotally in 2, and partially in 1 patient. An average increase of 30% in the area of vertical exposure significantly decreased the need for brain retraction. There was no mortality in this series. The only complications connected with the surgical approach were transient subgaleal cerebro-spinal fluid collections in 7 of 9 children and a subgaleal-peritoneal shunt placement in another patient. Conclusions: Our experience with this series of patients suggests that the OCA is as safe and beneficial in pediatric patients as it is in adults. It facilitates tumor removal by providing shorter access to and better exposure of the suprasellar area, thereby minimizing brain retraction.
KW - Anterior base of skull
KW - Craniopharyngioma
KW - Orbito-cranial approach
KW - Pediatric
KW - Suprasellar tumor
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=0034777441&partnerID=8YFLogxK
U2 - 10.1007/s003810100500
DO - 10.1007/s003810100500
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C2 - 11685525
AN - SCOPUS:0034777441
SN - 0256-7040
VL - 17
SP - 612
EP - 617
JO - Child's Nervous System
JF - Child's Nervous System
IS - 10
ER -