Pediatric Orbital and Skull Base Pathology

Dominic Nistal; Amy Lee; Jacob Ruzevick

doi:10.1016/j.coms.2024.02.003

Pediatric Orbital and Skull Base Pathology

Oral Maxillofac Surg Clin North Am. 2024 Mar 23:S1042-3699(24)00011-6. doi: 10.1016/j.coms.2024.02.003. Online ahead of print.

Authors

Dominic Nistal¹, Amy Lee², Jacob Ruzevick³

Affiliations

¹ Department of Neurological Surgery, University of Washington, 1959 Northeast Pacific Street, Box 356470, Seattle, WA 98195, USA.
² Department of Neurological Surgery, University of Washington, 1959 Northeast Pacific Street, Box 356470, Seattle, WA 98195, USA; Seattle Children's Hospital, 4800 Sandpoint Way NE, Seattle, WA 98105, USA.
³ Department of Neurological Surgery, University of Washington, 1959 Northeast Pacific Street, Box 356470, Seattle, WA 98195, USA; Seattle Children's Hospital, 4800 Sandpoint Way NE, Seattle, WA 98105, USA. Electronic address: ruzevick@uw.edu.

PMID: 38522979
DOI: 10.1016/j.coms.2024.02.003

Abstract

Pediatric orbital and skull base pathologies encompass a spectrum of inflammatory, sporadic, syndromic, and neoplastic processes that require a broad and complex clinical approach for both medical and surgical treatment. Given their complexity and often multicompartment involvement, a multidisciplinary approach for diagnosis, patient and family counseling, and ultimately treatment provides the best patient satisfaction and clinical outcomes. Advances in minimally invasive surgical approaches, including endoscopic endonasal and transorbital approaches allows for more targeted surgical approaches through smaller corridors beyond more classic transcranial or transracial approaches.

Keywords: Endoscopic endonasal approach; Orbital lesions; Pediatric skull base tumor; Transcranial approach; Transorbital approach.

Publication types

Review