Nasal and sinus masses in children

Description This symposium explores the unique considerations and surgical strategies involved in managing skull base pathology in the pediatric population. While many principles of endoscopic skull base surgery are shared with adult practice, the pediatric context introduces specific challenges related to anatomy, instrumentation, and perioperative care. Experts will present structured talks on practical surgical techniques, including the management of pediatric cerebrospinal fluid (CSF) leaks and endoscopic repair of congenital meningoencephaloceles.

Outcome Objectives By the end of the session, attendees will be able to:

1. Understand the anatomical and physiological differences between pediatric and adult skull base surgery.

2. Identify appropriate adaptations in equipment, instruments, and theatre setup when operating in small children.

3. Apply specific technical strategies for managing pediatric CSF leaks, with emphasis on safety and long-term outcomes.

4. Recognize the diagnostic and surgical considerations for pediatric meningoencephaloceles.

5. Improve teamwork and communication between surgeons and assistants when working within the constraints of a small nasal cavity.

Background Pediatric skull base surgery remains a highly specialized and evolving field. Compared to adult patients, children present unique challenges due to smaller anatomical spaces, immature bone structures, and a narrower margin for error. Instrumentation must be adapted, and surgical teams require dedicated planning to ensure optimal access and safety. This symposium will provide practical guidance on operating within these constraints, including pearls on patient positioning, endoscope handling, and collaboration with surgical assistants.

Through illustrative cases and expert experience, the session will highlight advances in managing pediatric CSF leaks and congenital meningoencephaloceles—two conditions that exemplify the complexity and precision required in this age group. By sharing multidisciplinary insights, the symposium aims to equip attendees with a clearer understanding of how to safely expand their skull base practice into the pediatric realm.