Endoscopic Skull Base Surgery in Children

Purpose of Review Pediatric endoscopic skull base surgery (ESBS) is a field of practice that has seen significant advancement and widespread adoption from its initial description less than two decades ago. This manuscript aims to review the development of the technique with particular attention to how our knowledge of the field has increased within the past 5 years. Recent Findings The understanding of the anatomic nuances in the pediatric endonasal corridor has grown, especially regarding the impact of sphenoid pneumatization on outcomes and the intercarotid distance at the sella. In addition, more robust data on outcomes has shown that ESBS is safe and effective in the pediatric population. In particular, the use of the nasoseptal flap has been more successful in younger patients than previously shown. Finally, studies have shown the minimal impact of ESBS on craniofacial development. Summary Pediatric ESBS is minimally invasive and safe and has good patient outcomes.