[Pediatric intranasal and skull base needle endoscopic surgery and examination].
OBJECTIVE
To explore the values of the application of needle endoscope in pediatric nasal cavity and skull base surgery.


METHODS
Using a kind of needle endoscope with the diameter of 1.9 mm and digital video image system, 8 cases of pediatric nasal cavity and skull base examination and surgery were performed.


RESULTS
Of 3 cases of congenital choanal atresia, one improved, the others recovered. One case (2.5 years old) of traumatic cerebrospinal fluid (CSF) fistulae was successfuly repaired under the 1.9 mm needle endoscope. There were 2 cases of congenital meningoencephalocele. One was 1 month newborn. When the diagnosis was confirmed by needle endoscopy and CT scan, the operation was postponed. The other got endoscopic operation and had recovered. Of 2 cases of skull base malignant tumour, the diagnosis was confirmed by intranasal biopsy under needle endoscope.


CONCLUSIONS
With the application of needle endoscope, the pediatric skull base surgery and examination can be performed in the narrow nasal cavities and sinuses with less invasion and good result.
Zhang
X M
XM
Department of Otolaryngology, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080.
Gan
J Y
JY
Guo
J B
JB
Li
T Y
TY
Wen
W P
WP
Jiang
G L
GL
D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002754:Choanal Atresia / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008588:Meningocele / Q000601:surgery; D009296:Nasal Cavity / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery