Outcomes of Endoscopic Resection in Pediatric Skull Base Chordoma: A Systematic Review

The endoscopic approach has been recommended as a primary option for treating chordomas, and it is associated with better resection rates fewer surgical complications than transcranial surgery. This review aimed to assess the long-term consequences evidence in current literature regarding approach's efficacy skull-base chordoma children. A systematic was conducted based on PubMed, Web of Science, EMBASE databases examine clinical outcomes endonasal surgery pediatric skull base tumors. included studies published English that employed specific research designs reported patients chordoma. Of 268 initially considered, 25 met our eligibility criteria were final analysis. average age 11.5 years, approximately equal number males females. (EEA) most commonly used modality. Gross total (GTR) achieved 62.7% patients, while 18.09% had subtotal (STR), 13.83% near-total only. Most showed significant moderate improvement from their baseline condition no recurrence during follow-up. Our findings further endorse viable treatment