Unique considerations in pediatric skull base surgery

Publication date: Available online 30 January 2019

Source: Operative Techniques in Otolaryngology-Head and Neck Surgery

Author(s): Irit Duek, Dan M. Fliss

Pediatric skull base and craniofacial surgery presents a unique challenge since the potential benefits of therapy must be balanced against the cumulative impact of multimodality treatment on craniofacial growth, donor-site morbidity, and the potential for serious psychosocial issues. Skull base reconstruction using locoregional flaps or free flaps may be safely performed in pediatrics. Although the general principles of skull base reconstruction are applicable to nearly all patients, the unique demands of skull base surgery in pediatrics merit special attention. Multidisciplinary care in experienced centers is of utmost importance.

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