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The definitive state-of-the-art resource on pediatric endoscopic endonasal approaches


Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction.


Pediatric Endoscopic Endonasal Skull Base Surgery by Harminder Singh, Jeffrey Greenfield, Vijay Anand, and Theodore Schwartz is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty chapters are presented in three comprehensive sections.


Key Features



Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches
Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as craniopharyngioma, meningoencephalocele, basilar invagination, and benign and malignant tumors, among others
Discussion of multiple skull-base closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care
Visually rich, the succinct text is enhanced with more than 200 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos


This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions.


This book includes complimentary access to a digital copy on https://medone.thieme.com.

Pediatric Endoscopic Endonasal Skull Base Surgery

Part I Pediatric Anatomy, Approaches, and Surgical Considerations



1 Anatomy of the Developing Pediatric Skull Base



2 Pediatric Rhinologic Considerations



3 Anesthetic Considerations in Pediatric Patients



4 Patient Positioning and Operating Room Setup



5 Instrumentation



6 Intraoperative Neurophysiological Monitoring during Endoscopic Endonasal Skull Base Surgery



7 Endonasal Corridors and Approaches



8 Combined Transcranial and Endonasal Approaches



9 Transorbital and Multiportal Approaches



10 Endonasal versus Supraorbital Eyebrow Approaches: Decision-Making in the Pediatric Population



11 Ventral Approaches to Intraparenchymal Tumors of the Skull Base and Brainstem



Part II Pathology Specific to the Pediatric Skull Base



12 Meningoencephaloceles



13 Sellar Arachnoid Cysts



14 Odontoidectomy for Craniovertebral Junction Compression



15 Rathke's Cleft Cyst



16 Craniopharyngioma



17 Pituitary Adenomas: Functional



18 Pituitary Adenoma: Nonfunctional



19 Epidermoid and Dermoid Tumors



20 Juvenile Nasopharyngeal Angiofibroma



21 Optic Pathway Glioma and Juvenile Pilocytic Astrocytoma



22 Germ Cell Tumors



23 Chordoma



24 Chondrosarcomas



25 Malignant Skull Base Tumors



26 Subperiosteal Orbital Abscess



Part III Skull Base Closure, Complication Management, and Postoperative Care



27 Closure Techniques for the Pediatric Skull Base: Vascularized Flaps



28 Closure Techniques for the Pediatric Skull Base: Multilayer Closure



29 Closure Techniques for the Pediatric Skull Base: Gasket Seal



30 Closure Techniques for the Pediatric Skull Base: Bilayer Button



31 Closure Techniques for the Pediatric Skull Base: Lumbar Drains



32 Complication Management in Pediatric Endonasal Skull Base Surgery



33 Postoperative Care for Pediatric Skull Base Patients: The Neurosurgery Perspective



34 Postoperative Care for Pediatric Skull Base Patients: The Otolaryngology Perspective