Mohsin, H., Abdulnaby, A. (2020). A Comparative Study of Posterior Fossa Tumor Approach in Pediatric Patients; Craniotomy Vs. Craniectomy. Alustath, 19(4), 304-309. doi: 10.52573/ipmj.2020.167323
Hayder Abbas Mohsin; Ayad Yousif Abdulnaby. "A Comparative Study of Posterior Fossa Tumor Approach in Pediatric Patients; Craniotomy Vs. Craniectomy". Alustath, 19, 4, 2020, 304-309. doi: 10.52573/ipmj.2020.167323
Mohsin, H., Abdulnaby, A. (2020). 'A Comparative Study of Posterior Fossa Tumor Approach in Pediatric Patients; Craniotomy Vs. Craniectomy', Alustath, 19(4), pp. 304-309. doi: 10.52573/ipmj.2020.167323
Mohsin, H., Abdulnaby, A. A Comparative Study of Posterior Fossa Tumor Approach in Pediatric Patients; Craniotomy Vs. Craniectomy. Alustath, 2020; 19(4): 304-309. doi: 10.52573/ipmj.2020.167323

A Comparative Study of Posterior Fossa Tumor Approach in Pediatric Patients; Craniotomy Vs. Craniectomy

Iraqi Postgraduate Medical Journal
Article 5, Volume 19, Issue 4, December 2020, Pages 304-309    PDF (182.77 K)
DOI: 10.52573/ipmj.2020.167323
Authors
Hayder Abbas Mohsin1; Ayad Yousif Abdulnaby2
1Al-Hussein Teaching Hospital, Al-Muthanna, Iraq
2Martyr Ghazi Al-Hariri Hospital for Surgical Specialties, Medical City / Baghdad, Iraq.
Abstract
BACKGROUND:
The posterior fossa is the biggest and the deepest intracranial fossa, containing the most complicated intracranial organs. Posterior fossa tumor access used to involve bone removal permanently, the first craniotomy was done in 1974 using burr holes to access CPA tumors.
OBJECTIVE:
To evaluate the postoperative complications of posterior fossa tumor surgery operated by craniotomy versus craniectomy in pediatric patients. 
PATIENTS AND METHODS:
A prospective single-center study of 35 pediatric patients with posterior fossa tumors operated in    the neurosurgical center in Martyr Ghazi Al-Hariri Hospital from Oct. 2017 to Oct. 2018. Patients were categorized into two groups using craniotomy or craniectomy for tumor access; these patients were followed postoperatively for 3 months and any signs or symptoms of complications were recorded (CSF leak, Pseudomeningocoele, wound dehiscence and infection).
RESULTS:
Thirty-five patients were studied, craniotomy was done for 15 patients, and craniectomy for 20 patients. The patients’ age averaged 2-16 years with a mean age of 7 years. The study included 17 male and 18 female patients with a male: female ratio of 1:1.058.
CONCLUSION:
Craniotomy resulted in less postoperative complications like Pseudomeningocoele, CSF leak, wound infection and dehiscence as well as less hospital stay than craniectomy.
 
Keywords
posterior; fossa; craniotomy; craniectomy
References
  1. Nanda A. Principles of Posterior Fossa Surgery. 2012;1:3-10.
  2. Snell RS. Snell’s Clinical Neuroanatomy. 8th edition. 2018;5:191.
  3. Rhoton Jr. AL. Rhoton : the Posterior Cranial Fossa: Microsurgical Anatomy and Surgical Approaches. 2000;47(1):S7.
  4. Winn HR. Youmans and Winn Neurological Surgery. 7th Edition. 2017;2:64
  5. Özek MM, Cinalli G, Maixner W, Sainte-rose C. Posterior Fossa Tumors in Children. 2015;3:77;5:119-126.
  6. Greenberg MS. Handbook of Neurosurgery. 8th edition. 2016;94:1451.
  7. Al-Shatoury HAH. Posterior fossa Tumors. Neurosurgery. Medscape. Oct 24, 2015.
  8. Aquilina K. Posterior fossa tumors in children. Neurosurgery. ACNR. 2013;13(4):24-28.
  9. Singer HS, Kossoff EH, Hartman AL, Crawford TO. Treatment of Pediatric Neurologic Disorders. 2005;39:271-278.
  10. Tonn JC, Westphal M, Ruthka JT, Grossman SA. Neuro-oncology of CNS Tumor. 2006;1:3-72.
  11. Zhou D, Zhand Y, Liu H, Luo S, Luo L, Dai K. Epidemiology   of nervous system tumors in children: a survey of 1,485 cases in Beijing Tiantan Hospital from 2001 to 2005. Pediatric Neurosurgery. 2008;44(2):97-103.
  12. Pernecky A, Reisch R. Keyhole Approaches in Neurosurgery. 2008;1(5):181.
  13. Kurpad SN, Cohen AR. Posterior Fossa Craniotomy: An Alternative to Craniectomy. Pediatric Neurosurgery. 1999;31:54-57.
  14. Gnanalingham KK, Lafuente J, Thompson D, Harkness W, Hayward R. Surgical procedures for posterior fossa tumors in children: does craniotomy lead to fewer complications than craniectomy. Journal of Neurosurgery. 2002;97:821-826.
  15. Legnani FG, Saladino A, Casali C, Vetrano IG, Varisco M, Mattei L et al. Craniotomy vs. craniectomy for posterior fossa tumors: a prospective study to evaluate complications after surgery. Acta Neurochir. 2013;155:2281-2286.
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