Evidence map›Paper›PMID 31377913›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

Endoscopic endonasal skull base surgery for pediatric brain tumors.

Yong Hwy Kim, Ji Yeoun Lee, Ji Hoon Phi, Kyu-Chang Wang, Seung-Ki Kim

Abstract read
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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Neuroendoscopy: intraventricular and skull base tumor resection in children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Endoscopic extended transsphenoidal surgery for newly diagnosed paediatric craniopharyngiomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yong Hwy KimDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Ji Yeoun LeeDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Ji Hoon PhiDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Kyu-Chang WangDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.
Seung-Ki KimDepartment of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea. nsthomas@snu.ac.kr.
Seoul National University Children's Hospital · KRSeoul National University Hospital · KR

Funding

Korea Health Industry Development Institute HI16C-1111-020016Ministry of Science, ICT and Future Planning NRF-2017R1A2B2008412
6 · The paper itself

Abstract

purposeThe utility of endoscopic endonasal skull base surgery (EES) in various pathologic entities in adults has been published in the literature. However, the role of EES in children has not been clearly elucidated. We evaluated the feasibility of EES in children with brain tumors.

methodsWe retrospectively reviewed clinical features, surgical outcomes, and complications in children who underwent EES for intracranial and skull base tumors at a single institution from July 2010 to October 2018.

resultsA total of 82 patients underwent EESs for 77 intracranial and 5 skull base bony tumors. The mean age at diagnosis was 11.4 years (range 4-18 years), and the mean follow-up period was 46.8 months. The most common tumors were craniopharyngioma in the intracranial tumor and chordoma in the skull base. Gross total resection was the goal of surgery in 55 patients and achieved in 90.9%. The vision was improved in 76.1% of patients with visual impairments. Preoperatively, various endocrinological deficiencies were revealed in 73.7% of 76 patients with hypothalamus-pituitary lesions, and the hyposomatotropism was most common. Endocrinological status was improved only in 10. Aseptic or bacterial meningitis (7.3%) was the most common surgical complication, and the cerebrospinal fluid leakage rate was 2.4%.

conclusionsEES provides favorable neurological outcomes with acceptable risk for children with brain tumors. The high incidence of endocrinological deficits in cases with hypothalamus-pituitary lesions emphasizes the importance of judicious pre- and postoperative evaluation.

Indexed as

AdenomaAdolescentCentral Nervous System CystsCerebrospinal Fluid LeakChildChild, PreschoolChordomaCraniopharyngiomaFemaleHumansMaleMeningitis, AsepticMeningitis, BacterialNasal CavityNatural Orifice Endoscopic SurgeryNeuroendoscopyBrain tumorChildrenComplicationEndoscopic endonasal surgeryOutcome

Identifiers

PMID31377913
OpenAlexW2965665008

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.