کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5714932 1605974 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Lateral skull base surgery in a pediatric population: A 25-year experience in a referral skull base center
ترجمه فارسی عنوان
جراحی پایه جمجمه جانبی در یک جمعیت اطفال: تجربه 25 ساله در مرکز پایه جمجمه ارجاعی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

ObjectiveTo analyze the pathology and surgical outcomes of lateral skull base (LSB) procedures in a pediatric population.Study designRetrospective case review in a referral skull base center.MethodsCharts of pediatric patients who underwent defined LSB procedures from 1983 to 2015 for various pathologies were evaluated at our center. A systematic review of literature was performed and our results were compared with the literature.Results63 patients presented with 65 diseased ears. The mean age was 13 years. 29 (44.6%) presented with hearing loss and 28 (44.4%) and chronic otorrhea. The most common pathology was petrous bone cholesteatoma (27, 42.5%) followed by vestibular schwannoma (10, 15.8%). Subtotal petrosectomy (24, 35.8%) was the most common surgical procedure followed by, transotic (18, 26.8%). The facial nerve function was preserved in 45 (67.1%) and the hearing in 28 (41.7%) cases respectively. No major complications, including mortality was encountered in our series.ConclusionIn rare and extensive pathologies involving the skull base in a pediatric population, the surgeon is posed with the dilemma of trying to achieve facial and hearing preservation while dealing with total tumor clearance. Mastery over LSB procedures can ensure complete disease clearance with optimal functional outcomes.Level of evidence2b.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 94, March 2017, Pages 70-75
نویسندگان
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