Kris Jatana

By Kris R. Jatana and Jeffrey C. Rastatter

Part of the book: Advances in Endoscopic Surgery

By Timothy P. McEvoy, Charles A. Elmaraghy and Kris R. Jatana

Part of the book: Endoscopy

By Patrick C. Walz, Charles A. Elmaraghy and Kris R. Jatana

Pathology along the anterior and posterior skull base has long posed challenges to surgeons due to the difficulty accessing these locations and complexity of the surrounding neurovascular anatomy. Initial surgical management of these disorders included open craniofacial approaches and/or craniotomy and these approaches are still utilized today for selected cases. However, advances in the later half of the 20th century in optics, endoscope design, and high definition digital images allowed the development of microscopic and, more recently, endoscopic approaches to the skull base. This technology was initially developed and used in adults, but has been adapted over time for use in the pediatric patient. In this chapter, the salient points regarding pediatric endoscopic skull base surgery will be reviewed to provide the reader a framework for understanding the indications, pertinent anatomy, preoperative evaluation, and intraoperative management of skull base pathology, highlighting challenges and circumstances unique to the pediatric population.

Part of the book: Endoscopy

By Phillip L. Chaffin, Jonathan M. Grischkan, Prashant S. Malhotra and Kris R. Jatana

The use of endoscopy is critical to the management of pediatric tracheobronchial and esophageal foreign bodies. Children may present with nonspecific symptoms, and the diagnosis can be difficult when the ingestion or aspiration events go unwitnessed. Advances in endoscopic techniques and the use of optical graspers in the removal of foreign bodies in children have helped decrease morbidity and mortality. In this chapter, the history, clinical presentations, workup, and management for pediatric aerodigestive foreign bodies are discussed.

Part of the book: Endoscopy