International Session 37　　Infection

Pediatric skull base surgery represents a demanding frontier, requiring precise technique and coordinated multidisciplinary care.This observational case series evaluates the challenges and outcomes in eleven pediatric patients, from newborn to 17 years, managed for diverse skull base pathologies.The cohort included brain abscess, optic nerve compression, traumatic cerebrospinal fluid leak, orbital infection, functioning pituitary adenoma, and benign tumors or cysts.Each case underwent individualized planning, with a spectrum of endoscopic, open, and combined approaches selected according to pathology, anatomy, and age-specific considerations.Management was conducted in a multidisciplinary format.Key challenges included narrow corridors in small children, distorted anatomy from infection or trauma, and balancing radicality with longterm growth and development.This experience supports the feasibility and safety of specialized multidisciplinary pediatric skull base surgery and underscores the importance of early diagnosis, detailed imaging-based planning, and tailored surgical strategy.