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Modified Orbitozygomatic Craniotomy For Craniopharyngioma Resection In Children.

Kiarash J Golshani, K. Lalwani, J. Delashaw, N. Selden
Published 2009 · Medicine

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OBJECT In this study, the authors evaluated the efficacy and safety of modified orbitozygomatic craniotomy for resection of craniopharyngioma in children. METHODS A prospective, institutional review board-approved database was retrospectively reviewed for pediatric patients undergoing craniopharyngioma resection performed by a single surgeon. RESULTS Ten patients underwent craniopharyngioma resection surgery between July 2000 and January 2006 (4 girls and 6 boys, ages 1.5-17 years). Nine patients presented to the authors' institution, and 1 patient was referred after surgery and radiation therapy were administered elsewhere. Nine patients presented with visual field deficits (2 with unilateral or bilateral light perception only) and 5 with endocrine dysfunction. Eight patients had large tumors that significantly displaced the optic chiasm and hypothalamus. All patients underwent a modified frontotemporal orbitozygomatic osteotomy in a single piece. The lamina terminalis was opened in 4 patients with third ventricular extension. One patient required a staged transsphenoidal operation to remove residual tumor in the sella turcica, and 1 patient underwent a contralateral subtemporal approach to resect a daughter lesion in the prepontine cistern. Complete radiographic resection was achieved in all patients. Follow-up averaged 55 months (range 12-95 months). Vision was improved in 8 patients and remained stable in 2. All patients had postoperative endocrine dysfunction. One patient experienced transient cranial nerve IV palsy and 1 suffered a small caudate stroke 5 months after surgery without sequelae. Two patients experienced polyphagia and weight gain without other symptoms of hypothalamic dysfunction. There were no other new neurological deficits. CONCLUSIONS Modified orbitozygomatic craniotomy provides excellent exposure of the suprasellar region with minimal brain retraction, allowing complete resection of craniopharyngiomas with good visual and neurological results.
This paper references
10.1016/0167-8140(93)90019-5
Craniopharyngioma--a long-term results following limited surgery and radiotherapy.
B. Rajan (1993)
10.1007/s00381-008-0754-x
Craniopharyngioma and hypothalamic obesity in children
M. Vinchon (2008)
10.3109/02688699409101192
Toxic effects of bleomycin on the hypothalamus following its administration into a cystic craniopharyngioma.
T. Haisa (1994)
10.1007/s00381-005-1202-9
Craniopharyngiomas in children: surgical experience at Children’s Memorial Hospital
T. Tomita (2005)
10.1227/00006123-198210000-00016
The supraorbital approach: technical note.
J. Jane (1982)
10.1007/s00381-005-1185-6
Individualized treatment of pediatric craniopharyngiomas
A. Albright (2005)
10.1017/S0012162204000374
Outcome of craniopharyngioma in children: long-term complications and quality of life.
A. Poretti (2004)
10.1159/000172965
Radical Resection of 202 Pediatric Craniopharyngiomas with Special Reference to the Surgical Approaches and Hypothalamic Protection
Y. Zhang (2008)
10.3171/JNS.2005.103.2.0224
Surgical management of the recurrence and regrowth of craniopharyngiomas.
Y. Minamida (2005)
10.1097/01376517-199008000-00006
Late Effects Associated with Treatment of Craniopharyngiomas in Childhood
T. Shiminski-Maher (1990)
10.1007/s00381-005-1210-9
Craniopharyngioma in childhood: our evidence-based approach to management
D. Thompson (2005)
10.1007/s00381-005-1207-4
Craniopharyngioma in children: Marseille experience
G. Lena (2005)
10.3171/JNS.2002.97.1.0003
Craniopharyngioma in adults and children: a study of 122 surgical cases.
R. van Effenterre (2002)
10.1016/j.clineuro.2007.10.013
Craniopharyngioma: Surgical experience of 309 cases in China
X. Shi (2008)
10.1007/s00381-005-1187-4
Craniopharyngiomas in children: Turkey experience
Y. Erşahin (2005)
10.1007/s00381-001-0524-5
Intracystic chemotherapy with bleomycin in the treatment of craniopharyngiomas
C. Mottolese (2001)
10.1007/s00381-005-1242-1
Craniopharyngiomas: our experience in Lyon
C. Mottolese (2005)
10.1056/NEJM199301143280203
Hypothalamic-Pituitary Dysfunction after Radiation for Brain Tumors
L. Constine (1993)
10.1159/000429882
Surgical treatment of craniopharyngiomas: an evaluation of the transsphenoidal and pterional approaches.
G. Maira (1995)
10.3109/02841859609177721
Pre- and postoperative MR imaging of craniopharyngiomas.
J. Hald (1996)
10.1007/s003810050108
Long-term results of treatment for craniopharyngioma in children
G. Tomei (1997)
10.3171/JNS.1999.91.6.1020
Quantification of increased exposure resulting from orbital rim and orbitozygomatic osteotomy via the frontotemporal transsylvian approach.
M. S. Schwartz (1999)
10.1007/BF00270902
Results of the management of craniopharyngioma in children
J. Kang (2004)
10.3171/PED.2005.103.4.0302
Quality of life and behavioral follow-up study of pediatric survivors of craniopharyngioma.
S. Sands (2005)
10.1210/JCEM.81.7.8675604
Obesity in childhood craniopharyngioma: relation to post-operative hypothalamic damage shown by magnetic resonance imaging.
C. D. de Vile (1996)
10.3171/JNS.2005.102.5.0940
Modified osteoplastic orbitozygomatic craniotomy. Technical note.
Vijayabalan Balasingam (2005)
10.1002/mpo.2950200302
Neuropsychological status of children treated for brain tumors: a critical review and integrative analysis.
R. Mulhern (1992)
10.3171/JNS.1999.90.2.0237
Surgical treatment of craniopharyngiomas: experience with 168 patients.
R. Fahlbusch (1999)
10.1159/000120693
Radical resections of childhood craniopharyngiomas.
T. Tomita (1993)
10.1007/s003810000361
Hypothalamic hamartoma: the role of surgery in a series of eight patients
C. Mottolese (2001)
10.3171/JNS.1996.85.1.0073
Management of childhood craniopharyngioma: can the morbidity of radical surgery be predicted?
C. D. de Vile (1996)
10.1016/S0360-3016(96)00537-8
Craniopharyngioma: improving outcome by early recognition and treatment of acute complications.
B. Rajan (1997)
10.1007/BF01411735
The orbitozygomatic infratemporal fossa approach: a quantitative anatomical study
S. Honeybul (2005)
10.1007/s00381-005-1221-6
Craniopharyngioma: a personal (Boston) experience
R. Scott (2005)
10.1007/s00381-005-1186-5
Long-term results of the surgical treatment of craniopharyngioma: the experience at the Policlinico Gemelli, Catholic University, Rome
M. Caldarelli (2005)
10.1007/s00381-005-1201-x
Radical resection of craniopharyngioma
G. Zuccaro (2005)
10.1007/s00381-005-1209-2
Craniopharyngioma: the pendulum of surgical management
C. Sainte-Rose (2005)



This paper is referenced by
10.1016/j.bjoms.2010.04.006
A mental hook for learning the three-dimensional anatomy of the sphenoid bone: an angelic resemblance.
Hope Gangata (2010)
10.1007/s00381-012-1926-2
A systematic review of the results of surgery and radiotherapy on tumor control for pediatric craniopharyngioma
A. Clark (2012)
10.1016/j.wneu.2011.07.011
Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of craniopharyngiomas.
R. Komotar (2012)
10.1016/B978-0-12-416706-3.00028-3
Surgery of Craniopharyngiomas in Children
James A. Balogun (2015)
10.3171/2014.7.FOCUS14329
Anatomic comparison of the endonasal and transpetrosal approaches for interpeduncular fossa access.
K. Oyama (2014)
10.1007/s00381-012-1831-8
Anatomic study of the lamina terminalis: neurosurgical relevance in approaching lesions within and around the third ventricle
R Shane Tubbs (2012)
10.1007/s00701-016-2733-4
Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study
Jie Yang (2016)
10.1159/000318426
Endocrinological Outcomes of Pediatric Craniopharyngiomas with Anatomical Pituitary Stalk Preservation: Preliminary Study
T. Jung (2010)
10.1093/ons/opz004
Pediatric Intracavernous Sinus Lesions: A Single Institutional Surgical Case Series and Review of the Literature.
R. Hoshide (2019)
10.1007/978-3-662-54256-9_33
Surgical Considerations of the Pituitary
Toba N. Niazi (2018)
10.3171/2011.1.FOCUS10297
Surgical nuances for removal of retrochiasmatic craniopharyngioma via the endoscopic endonasal extended transsphenoidal transplanum transtuberculum approach.
J. Liu (2011)
10.3171/2011.12.JNS111251
Lateral orbital wall approach to the cavernous sinus.
Tamer Altay (2012)
10.1016/S0513-5117(10)79287-5
Modified orbitozygomatic craniotomy for craniopharyngioma resection in children
Paul Klimo (2010)
10.3171/2012.7.PEDS11436
Treatment-related morbidity and the management of pediatric craniopharyngioma: a systematic review.
A. Clark (2012)
10.3171/2016.9.FOCUS16284
Microscopic versus endoscopic approaches for craniopharyngiomas: choosing the optimal surgical corridor for maximizing extent of resection and complication avoidance using a personalized, tailored approach.
J. Liu (2016)
10.1007/978-3-030-04152-6_30
Craniopharyngioma: Current Classification, Management, and Future Directions
Z. Habibi (2019)
10.1055/s-0034-1396599
Techniques for Preservation of the Frontotemporal Branch of Facial Nerve during Orbitozygomatic Approaches.
Toma Spiriev (2015)
10.3109/02688697.2012.654837
Endoscopic skull base surgery: a comprehensive comparison with open transcranial approaches
R. Komotar (2012)
10.1007/s11060-016-2147-4
Microsurgical removal of craniopharyngioma: endoscopic and transcranial techniques for complication avoidance
Saira Alli (2016)
10.1055/s-0037-1621738
Pediatric Craniopharyngiomas: A Primer for the Skull Base Surgeon
Christopher S Graffeo (2018)
10.3171/2013.9.JNS122133
Microsurgical resection of extensive craniopharyngiomas using a frontolateral approach: operative technique and outcome.
V. Gerganov (2014)
10.3171/2016.9.JNS16622
Fronto-orbitozygomatic approach: functional and cosmetic outcomes in a series of 169 patients.
N. Boari (2018)
10.4103/0028-3886.158228
Endoscopic endonasal transplanum transtuberculum approach for retrochiasmatic craniopharyngiomas: Operative nuances.
Suresh K Sankhla (2015)
10.1097/MOO.0b013e328340ea77
Bibliography. Laryngology and bronchoesophagology. Current world literature.
L. Williams (2010)
10.3171/2013.10.JNS13673
Surgical outcomes of the minimum anterior and posterior combined transpetrosal approach for resection of retrochiasmatic craniopharyngiomas with complicated conditions.
N. Kunihiro (2014)
10.7887/JCNS.23.12
Surgical Strategy for Craniopharyngiomas based on Anatomical Classification
Takeo Goto (2014)
10.3171/2009.12.PEDS09508
Less is less.
O. Al-Mefty (2010)
10.3171/2010.1.FOCUS09309
Surgical nuances for removal of retrochiasmatic craniopharyngiomas via the transbasal subfrontal translamina terminalis approach.
J. Liu (2010)
10.1055/s-0037-1617449
Developmental Considerations in Pediatric Skull Base Surgery
M. LoPresti (2018)
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