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Endoscopic excision of benign forehead masses: a novel approach for pediatric general surgeons.
J Pediatr Surg. 2006 Nov; 41(11):1874-8.JP

Abstract

PURPOSE

Benign tumors of the brow and forehead are commonly managed by pediatric general surgeons by excision through an overlying incision. Cosmetic results in children can be suboptimal. Plastic surgeons have used endoscopic brow-lift techniques for the removal of these lesions. We review our experience after adopting this endoscopic technique in a pediatric general surgery practice.

METHODS

We conducted a retrospective chart review of 9 consecutive outpatient procedures (5 girls and 4 boys; age range, 5 months to 12 years) between March and October 2005. Seven patients had lesions located on the lateral brow (left, n = 4; right, n = 3), 1 patient had a lesion on the left mid forehead, and 1 patient had a nasoglabellar cyst. All procedures were performed using endoscopic brow-lift equipment through a single small scalp incision 2 cm posterior to the hairline. Outcome measures included need for conversion, operative time, cosmetic outcome, and complications.

RESULTS

All lesions (6 dermoid cysts and 3 pilomatrixomas) were successfully excised endoscopically. The mean operative time was 56 minutes (range, 22-90 minutes). There was no intraoperative or postoperative complication. All families were pleased with the cosmetic outcomes.

CONCLUSION

This case report shows that endoscopic excision of forehead masses is a safe and efficacious procedure in the hands of pediatric general surgeons.

Authors+Show Affiliations

Division of Pediatric Surgery, Department of Surgery, Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, CA 94305-5733, USA. sduttal@stanford.edu <sduttal@stanford.edu>No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17101362

Citation

Dutta, Sanjeev, et al. "Endoscopic Excision of Benign Forehead Masses: a Novel Approach for Pediatric General Surgeons." Journal of Pediatric Surgery, vol. 41, no. 11, 2006, pp. 1874-8.
Dutta S, Lorenz HP, Albanese CT. Endoscopic excision of benign forehead masses: a novel approach for pediatric general surgeons. J Pediatr Surg. 2006;41(11):1874-8.
Dutta, S., Lorenz, H. P., & Albanese, C. T. (2006). Endoscopic excision of benign forehead masses: a novel approach for pediatric general surgeons. Journal of Pediatric Surgery, 41(11), 1874-8.
Dutta S, Lorenz HP, Albanese CT. Endoscopic Excision of Benign Forehead Masses: a Novel Approach for Pediatric General Surgeons. J Pediatr Surg. 2006;41(11):1874-8. PubMed PMID: 17101362.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic excision of benign forehead masses: a novel approach for pediatric general surgeons. AU - Dutta,Sanjeev, AU - Lorenz,H Peter, AU - Albanese,Craig T, PY - 2006/11/15/pubmed PY - 2006/12/9/medline PY - 2006/11/15/entrez SP - 1874 EP - 8 JF - Journal of pediatric surgery JO - J. Pediatr. Surg. VL - 41 IS - 11 N2 - PURPOSE: Benign tumors of the brow and forehead are commonly managed by pediatric general surgeons by excision through an overlying incision. Cosmetic results in children can be suboptimal. Plastic surgeons have used endoscopic brow-lift techniques for the removal of these lesions. We review our experience after adopting this endoscopic technique in a pediatric general surgery practice. METHODS: We conducted a retrospective chart review of 9 consecutive outpatient procedures (5 girls and 4 boys; age range, 5 months to 12 years) between March and October 2005. Seven patients had lesions located on the lateral brow (left, n = 4; right, n = 3), 1 patient had a lesion on the left mid forehead, and 1 patient had a nasoglabellar cyst. All procedures were performed using endoscopic brow-lift equipment through a single small scalp incision 2 cm posterior to the hairline. Outcome measures included need for conversion, operative time, cosmetic outcome, and complications. RESULTS: All lesions (6 dermoid cysts and 3 pilomatrixomas) were successfully excised endoscopically. The mean operative time was 56 minutes (range, 22-90 minutes). There was no intraoperative or postoperative complication. All families were pleased with the cosmetic outcomes. CONCLUSION: This case report shows that endoscopic excision of forehead masses is a safe and efficacious procedure in the hands of pediatric general surgeons. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/17101362/Endoscopic_excision_of_benign_forehead_masses:_a_novel_approach_for_pediatric_general_surgeons_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(06)00465-9 DB - PRIME DP - Unbound Medicine ER -