Chandigarh, Aug 6- A team of PGIMER led by Prof. SS Dhandapani has created history by successfully removing a giant brain tumor endoscopically through the nose of a 2-year-old girl from Amroha, Uttar Pradesh. This is the second such case worldwide. The girl had complete vision loss and pituitary hormone deficiency due to a 4.5 cm craniopharyngioma near vital brain structures.
Usually, open skull surgery is required for such large tumors, especially in young children, due to anatomical challenges such as small nostrils and immature skull bones.
Despite these difficulties, the team including Dr. Rijunita, Shiv Soni, Sushant, Dhaval and Sanjog carefully planned and executed the complex procedure using advanced imaging, high-definition endoscopy and special equipment. Access was particularly challenging due to the absence of normal sinuses and the small size of the nasal passages.
Which required extensive bone drilling and navigation. The tumor was safely removed, and a vascularized nasal flap was used to prevent leakage of brain fluid.
After six hours of surgery and minimal blood loss, the child recovered with almost complete tumor removal and no complications. This achievement is a milestone in pediatric neuroendoscopy, as she is now the second youngest child in the world to undergo such a complex endonasal procedure.