Fibro-Osseous Lesions of the Skull Base in the Pediatric Population

Abstract

Fibro-osseous lesions of the skull base include a variety of lesions with different biologic behavior. The most common lesions include fibrous dysplasia, osteoma, aneurysmal bone cyst, and juvenile ossifying fibroma. The diagnosis can usually be established with radiographic imaging. In the absence of symptoms, slow-growing lesions can often be observed. When surgery is indicated for relief of symptoms, endoscopic endonasal techniques are well suited for all age groups.

Keywords

fibro-osseous lesions - fibrous dysplasia - osteoma - aneurysmal bone cyst - juvenile ossifying fibroma - endoscopic endonasal surgery - skull base

• References

• 1 Ma J, Liang L, Gu B, Zhang H, Wen W, Liu H. A retrospective study on craniofacial fibrous dysplasia: preoperative serum alkaline phosphatase as a prognostic marker?. J Craniomaxillofac Surg 2013; 41 (07) 644-647
• 2 Béquignon E, Cardinne C, Lachiver X, Wagner I, Chabolle F, Baujat B. Craniofacial fibrous dysplasia surgery: a functional approach. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130 (04) 215-220
• 3 Cohen Jr MM, Howell RE. Etiology of fibrous dysplasia and McCune-Albright syndrome. Int J Oral Maxillofac Surg 1999; 28 (05) 366-371
• 4 Ruggieri P, Sim FH, Bond JR, Unni KK. Malignancies in fibrous dysplasia. Cancer 1994; 73 (05) 1411-1424
• 5 Salmasi V, Blitz AM, Ishii M, Gallia GL. Expanded endonasal endoscopic approach for resection of a large skull base aneurysmal bone cyst in a pediatric patient with extensive cranial fibrous dysplasia. Childs Nerv Syst 2011; 27 (04) 649-656
• 6 Chapurlat RD. Medical therapy in adults with fibrous dysplasia of bone. J Bone Miner Res 2006; 21 (Suppl. 02) 114-119
• 7 Edgerton MT, Persing JA, Jane JA. The surgical treatment of fibrous dysplasia. With emphasis on recent contributions from cranio-maxillo-facial surgery. Ann Surg 1985; 202 (04) 459-479
• 8 Barnes L, Eveson JW, Reichart P, Sidransky D. , Eds. World Health Organization Classifications of Tumors. Pathology and Genetics of Head and Neck Tumors. Lyon, France: IARC Press; 2005: 238-328
• 9 Aghaghazvini L, Sedighi N, Karami P, Yeganeh O. Skull base aneurysmal bone cyst presented with foramen jugular syndrome and multi-osseous involvement. Iran J Radiol 2012; 9 (03) 157-160
• 10 Goyal A, Rastogi S, Singh PP, Sharma S. Aneurysmal bone cyst at the base of the skull. Ear Nose Throat J 2012; 91 (05) E7-E9
• 11 de Minteguiaga C, Portier F, Guichard JP. , et al. Aneurysmal bone cyst in the sphenoid bone: treatment with minimally invasive surgery. Ann Otol Rhinol Laryngol 2001; 110 (04) 331-334
• 12 Sheikh BY, Kanaan I, Alwatban J, Enazi A, Patay Z. Aneurysmal bone cyst involving the skull base: report of three cases. Skull Base Surg 1999; 9 (02) 145-148
• 13 Lloret I, Server A, Taksdal I. Calvarial lesions: a radiological approach to diagnosis. Acta Radiol 2009; 50 (05) 531-542
• 14 Kusano T, Hirabayashi S, Eguchi T, Sugawara Y. Treatment strategies for fibrous dysplasia. J Craniofac Surg 2009; 20 (03) 768-770
• 15 Chen YR, Breidahl A, Chang CN. Optic nerve decompression in fibrous dysplasia: indications, efficacy, and safety. Plast Reconstr Surg 1997; 99 (01) 22-30 , discussion 31–33
• 16 Moore AT, Buncic JR, Munro IR. Fibrous dysplasia of the orbit in childhood. Clinical features and management. Ophthalmology 1985; 92 (01) 12-20
• 17 Papay FA, Morales Jr L, Flaharty P. , et al. Optic nerve decompression in cranial base fibrous dysplasia. J Craniofac Surg 1995; 6 (01) 5-10 , discussion 11–14
• 18 Lee JS, FitzGibbon E, Butman JA. , et al. Normal vision despite narrowing of the optic canal in fibrous dysplasia. N Engl J Med 2002; 347 (21) 1670-1676
• 19 Tan YC, Yu CC, Chang CN, Ma L, Chen YR. Optic nerve compression in craniofacial fibrous dysplasia: the role and indications for decompression. Plast Reconstr Surg 2007; 120 (07) 1957-1962
• 20 Tatreau JR, Patel MR, Shah RN. , et al. Anatomical considerations for endoscopic endonasal skull base surgery in pediatric patients. Laryngoscope 2010; 120 (09) 1730-1737
• 21 Banu MA, Guerrero-Maldonado A, McCrea HJ. , et al. Impact of skull base development on endonasal endoscopic surgical corridors. J Neurosurg Pediatr 2014; 13 (02) 155-169
• 22 Stapleton AL, Tyler-Kabara EC, Gardner PA, Snyderman CH. Endoscopic endonasal surgery for benign fibro-osseous lesions of the pediatric skull base. Laryngoscope 2015; 125 (09) 2199-2203
• 23 Kassam A, Thomas AJ, Snyderman C. , et al. Fully endoscopic expanded endonasal approach treating skull base lesions in pediatric patients. J Neurosurg 2007; 106 (2, Suppl): 75-86
• 24 Locatelli D, Rampa F, Acchiardi I, Bignami M, Pistochini A, Castelnuovo P. Endoscopic endonasal approaches to anterior skull base defects in pediatric patients. Childs Nerv Syst 2006; 22 (11) 1411-1418
• 25 Chivukula S, Koutourousiou M, Snyderman CH, Fernandez-Miranda JC, Gardner PA, Tyler-Kabara EC. Endoscopic endonasal skull base surgery in the pediatric population. J Neurosurg Pediatr 2013; 11 (03) 227-241
• 26 Di Rocco F, Couloigner V, Dastoli P, Sainte-Rose C, Zerah M, Roger G. Treatment of anterior skull base defects by a transnasal endoscopic approach in children. J Neurosurg Pediatr 2010; 6 (05) 459-463
• 27 Alobaid A, Dehdashti AR. Hemostasis in skull base surgery. Otolaryngol Clin North Am 2016; 49 (03) 677-690
• 28 Kruse A, Pieles U, Riener MO, Zunker Ch, Bredell MG, Grätz KW. Craniomaxillofacial fibrous dysplasia: a 10-year database 1996-2006. Br J Oral Maxillofac Surg 2009; 47 (04) 302-305
• 29 Valentini V, Cassoni A, Marianetti TM, Terenzi V, Fadda MT, Iannetti G. Craniomaxillofacial fibrous dysplasia: conservative treatment or radical surgery? A retrospective study on 68 patients. Plast Reconstr Surg 2009; 123 (02) 653-660
• 30 Fattah A, Khechoyan D, Phillips JH, Forrest CR. Paediatric craniofacial fibrous dysplasia: the Hospital for Sick Children experience and treatment philosophy. J Plast Reconstr Aesthet Surg 2013; 66 (10) 1346-1355
• 31 Park BY, Cheon YW, Kim YO, Pae NS, Lee WJ. Prognosis for craniofacial fibrous dysplasia after incomplete resection: age and serum alkaline phosphatase. Int J Oral Maxillofac Surg 2010; 39 (03) 221-226
• 32 Williams HK, Mangham C, Speight PM. Juvenile ossifying fibroma. An analysis of eight cases and a comparison with other fibro-osseous lesions. J Oral Pathol Med 2000; 29 (01) 13-18
• 33 Noudel R, Chauvet E, Cahn V, Mérol JC, Chays A, Rousseaux P. Transcranial resection of a large sinonasal juvenile psammomatoid ossifying fibroma. Childs Nerv Syst 2009; 25 (09) 1115-1120
• 34 Ciniglio Appiani M, Verillaud B, Bresson D. , et al. Ossifying fibromas of the paranasal sinuses: diagnosis and management. Acta Otorhinolaryngol Ital 2015; 35 (05) 355-361
• 35 Wang M, Zhou B, Cui S, Li Y. Juvenile psammomatoid ossifying fibroma in paranasal sinus and skull base. Acta Otolaryngol 2017; 137 (07) 743-749