Doernbecher has a distinguished record for removing some of
the most difficult tumors faced by pediatric neurosurgeons.
One of the toughest, a rare tumor called craniopharyngioma,
is tucked deep in the center of the head, between the carotid arteries emerging
from the skull base, the vision nerves, the most sensitive areas of the base of
the brain, and the brainstem (see an example, below). Our novel report of using
a newer skull base surgical approach in children to remove craniopharyngiomas,
while preserving visual function at record high rates, was highlighted on the
cover of the leading Journal of
Neurosurgery: Pediatrics, in 2009.
Modified orbitozygomatic craniotomy for craniopharyngioma resection in children
Now, for some smaller craniopharyngiomas, an even newer,
more innovative approach is available at Doernbecher: using an endoscope to
enter the skull base through the nose and remove the tumor minimally
invasively, and completely. Remarkably, this trans-nasal surgery leaves no scar
at all.
Some larger tumors are still removed using the open skull base
approach Doernbecher helped develop in children. Along with our superb brain
tumor program colleagues, these innovations offer the best odds for children
with one of the most difficult to treat pediatric brain tumors.
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