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Anterior Skull Base Approaches to the Posterior Fossa

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Posterior Fossa Tumors in Children

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Abstract

In rare instances a surgical approach to anterior boundary of the posterior fossa via the transoral route may be indicated. The transoral route has been well documented as a means of dealing with compressive pathologies at the clivus and cranioverteral junction in adults; however, the use of this approach in children has been less widely studied. Lesions that may have to be dealt with via this technique include congenital abnormalities, infectious and inflammatory lesions, as well as tumors.

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References

  1. Menezes AH (1992) The anterior midline approach to the craniocervical region in children. Pediatr Neurosurg 18(5–6):272–281

    Article  CAS  PubMed  Google Scholar 

  2. Tuite GF, Veres R, Crockard HA, Sell D (1996) Pediatric transoral surgery: indications, complications, and long-term outcome. J Neurosurg 84(4):573–583

    Article  CAS  PubMed  Google Scholar 

  3. Hardy J (1969) Transphenoidal microsurgery of the normal and pathological pituitary. Clin Neurosurg 16:185–217

    CAS  PubMed  Google Scholar 

  4. Fang H, Ong G (1962) Direct approach to the upper cervical spine. J Bone Joint Surg Am 14:1588–1604

    Google Scholar 

  5. Crockard HA (1995) Transoral surgery: some lessons learned. Br J Neurosurg 9(3):283–293

    Article  CAS  PubMed  Google Scholar 

  6. Menezes AH (2008) Surgical approaches: postoperative care and complications “transoral–transpalatopharyngeal approach to the craniocervical junction”. Childs Nerv Syst 10:1187–1193

    Article  Google Scholar 

  7. James D, Crockard HA (1991) Surgical access to the base of skull and upper cervical spine by extended maxillotomy. Neurosurgery 3:411–416

    Google Scholar 

  8. Brookes JT, Smith RJH, Menezes AH, Smith MC (2008) Median labiomandibular glossotomy approach to the craniocervical region. Childs Nerv Syst 24(10):1195–1201

    Article  PubMed  Google Scholar 

  9. Crockard HA, Sen CN (1991) The transoral approach for the management of intradural lesions at the craniovertebral junction: review of 7 cases. Neurosurgery 1:88–97

    Google Scholar 

  10. Bhangoo R, Crockard H (2000) Surgical approaches to the craniovertebral junction (C1–C2). In: Robertson J, Coakham H, Robertson J (eds) Cranial base surgery. Churchill Livingstone, London, pp 283–294

    Google Scholar 

  11. Kawashima M, Tanriover N, Rhoton AL, Ulm AJ, Matsushima T (2003) Comparison of the far lateral and extreme lateral variants of the atlanto-occipital transarticular approach to anterior extradural lesions of the craniovertebral junction. Neurosurgery 53(3):662–674; discussion 674–5

    Article  PubMed  Google Scholar 

  12. Heros RC (1986) Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg 64(4):559–562

    Article  CAS  PubMed  Google Scholar 

  13. Tsai EC, Santoreneos S, Rutka JT (2002) Tumors of the skull base in children: review of tumor types and management strategies. Neurosurg Focus 12(5):e1

    Article  PubMed  Google Scholar 

  14. Teo C, Dornhoffer J, Hanna E, Bower C (1999) Application of skull base techniques to pediatric neurosurgery. Childs Nerv Syst 15(2–3):103–109

    Article  CAS  PubMed  Google Scholar 

  15. Menezes AH (2008) Craniovertebral junction neoplasms in the pediatric population. Childs Nerv Syst 24(10):1173–1186

    Article  PubMed  Google Scholar 

  16. Borba LA, Al-Mefty O, Mrak RE, Suen J (1996) Cranial chordomas in children and adolescents. J Neurosurg 84(4):584–591

    Article  CAS  PubMed  Google Scholar 

  17. Coffin CM, Swanson PE, Wick MR, Dehner LP (1993) Chordoma in childhood and adolescence. A clinicopathologic analysis of 12 cases. Arch Pathol Lab Med 117(9):927–933

    CAS  PubMed  Google Scholar 

  18. Hug EB, Slater JD (2000) Proton radiation therapy for chordomas and chondrosarcomas of the skull base. Neurosurg Clin N Am 11(4):627–638

    CAS  PubMed  Google Scholar 

  19. Tai PT, Craighead P, Liem SK, Jo BH, Stitt L, Tonita J (2000) Management issues in chordoma: a case series. Clin Oncol (R Coll Radiol) 12(2):80–86

    CAS  Google Scholar 

  20. Benk V, Liebsch NJ, Munzenrider JE, Efird J, McManus P, Suit H (1995) Base of skull and cervical spine chordomas in children treated by high-dose irradiation. Int J Radiat Oncol Biol Phys 31(3):577–581

    Article  CAS  PubMed  Google Scholar 

  21. Hug EB, Sweeney RA, Nurre PM, Holloway KC, Slater JD, Munzenrider JE (2002) Proton radiotherapy in management of pediatric base of skull tumors. Int J Radiat Oncol Biol Phys 52(4):1017–1024

    Article  PubMed  Google Scholar 

  22. Saccomanni B (2008) Aneurysmal bone cyst of spine: a review of literature. Arch Orthop Trauma Surg 128(10):1145–1147

    Article  CAS  PubMed  Google Scholar 

  23. Mohit AA, Eskridge J, Ellenbogen R, Shaffrey CI (2004) Aneurysmal bone cyst of the atlas: successful treatment through selective arterial embolization: case report. Neurosurgery 55(4):982

    Article  PubMed  Google Scholar 

  24. Turowski B, Schellhammer F, Herdmann J, Rommel F (2005) Fatal Ethibloc embolization of vertebrobasilar system following percutaneous injection into aneurysmal bone cyst of the second cervical vertebra. AJNR Am J Neuroradiol 26(7):1883–1884

    PubMed  Google Scholar 

  25. Ternier J, Joshi SM, Thompson DNP (2009) Image-guided transoral surgery in childhood. Childs Nerv Syst 25(5):563–568

    Article  PubMed  Google Scholar 

  26. Hansen MA, da Cruz MJ, Owler BK (2008) Endoscopic transnasal decompression for management of basilar invagination in osteogenesis imperfecta. J Neurosurg Spine 9(4):354–357

    Article  PubMed  Google Scholar 

  27. Barker R, Fareedi S, Thompson D, Saunders D (2009) The use of CT angiography in the preoperative planning of cervical spine surgery in children. Childs Nerv Syst 25(8):955–959

    Article  CAS  PubMed  Google Scholar 

  28. Doorenbosch X, Santoreneos S, Molloy CJ, David DJ, Anderson PJ (2009) Modified transoral approach for resection of skull base chordomas in children. Childs Nerv Syst 25(11):1481–1483

    Article  PubMed  Google Scholar 

  29. Alfieri A, Jho H-D, Tschabitscher M (2002) Endoscopic endonasal approach to the ventral cranio-cervical junction: anatomical study. Acta Neurochir (Wien) 144(3):219–225; discussion 225

    Article  CAS  Google Scholar 

  30. de Notaris M, Cavallo LM, Prats-Galino A, Esposito I, Benet A, Poblete J et al (2009) Endoscopic endonasal transclival approach and retrosigmoid approach to the clival and petroclival regions. Neurosurgery 65(6 Suppl):42–50; discussion 50–2

    PubMed  Google Scholar 

  31. El-Sayed IH, Wu J-C, Ames CP, Balamurali G, Mummaneni PV (2010) Combined transnasal and transoral endoscopic approaches to the craniovertebral junction. J Craniovertebr Junction Spine 1(1):44–48

    Article  PubMed Central  PubMed  Google Scholar 

  32. Menezes AH, VanGilder JC (1988) Transoral-transpharyngeal approach to the anterior craniocervical junction. Ten-year experience with 72 patients. JxNeurosurg 69(6):895–903

    Google Scholar 

  33. Casey AT, Hayward RD, Harkness WF, Crockard HA (1995) The use of autologous skull bone grafts for posterior fusion of the upper cervical spine in children. Spine 20(20):2217–2220

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Paediatric Neurosurgery, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH, UK

    Dominic N. P. Thompson M.D, MBBS, BSc, FRCS (SN)

Authors
  1. Dominic N. P. Thompson M.D, MBBS, BSc, FRCS (SN)
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Correspondence to Dominic N. P. Thompson M.D, MBBS, BSc, FRCS (SN) .

Editor information

Editors and Affiliations

  1. Neurosurgery, Acıbadem University, Istanbul, Istanbul, Turkey

    M. Memet Özek

  2. Pediatric Neurosurgery, Santobono Children's Hospital, Naples, Napoli, Italy

    Giuseppe Cinalli

  3. Dept. Neurosurgery, Royal Childrens Hospital, Melbourne, Victoria, Australia

    Wirginia Maixner

  4. Pediatric Neurosurgery, Hopital Necker-Enfants Malades, Paris, Paris, France

    Christian Sainte-Rose

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© 2015 Springer International Publishing Switzerland

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Thompson, D.N.P. (2015). Anterior Skull Base Approaches to the Posterior Fossa. In: Özek, M., Cinalli, G., Maixner, W., Sainte-Rose, C. (eds) Posterior Fossa Tumors in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-11274-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-11274-9_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-11273-2

  • Online ISBN: 978-3-319-11274-9

  • eBook Packages: MedicineMedicine (R0)

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