NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. AdappaThe expanded endonasal approach for the treatment of intracranial skull base disease in the pediatric populationKhalili, Sammy*; Palmer, James N.; Adappa, Nithin D.*Author Information University of Pennsylvania Health System, Children's Hospital of Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, USA *Sammy Khalili and Nithin D. Adappa contributed equally to the writing of this article. Correspondence to Nithin D. Adappa, MD, Department of Otolaryngology – Head and Neck Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. Tel: +1 215 662 2360; e-mail: Nithin.Adappa@uphs.upenn.edu Current Opinion in Otolaryngology & Head and Neck Surgery: February 2015 - Volume 23 - Issue 1 - p 65-70 doi: 10.1097/MOO.0000000000000126 Buy Metrics Abstract Purpose of review To review the current literature on the expanded endonasal approach for pediatric skull base lesions. Recent findings This review examines the currently published outcomes of pediatric endoscopic skull base surgery. It specifically reviews the anatomic considerations of pediatric patients, growth considerations in pediatric patients, reconstructive options and limitations, and the use of image guidance. In addition, this review provides some suggestions for approaching skull base lesions in pediatric patients, based on both experience and the current body of literature. Summary The expanded endonasal approach for pediatric skull base lesions is a well tolerated and reliable method for the treatment of children with midline nasal masses. With improvements in technology and technique, this approach has become increasingly common in high-volume skull base centers as a well tolerated alternative to traditional open approaches. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.