Posterior　fossa　epidural　hematomas　(PFEDH)　are　uncommon　in　children　but　usually　require　timely　surgical　intervention　due　to　the　risk　of　life-threatening　brainstem　compression.　We　attempt　to　make　the　surgical　procedure　less　invasive　by　treating　selected　pediatric　patients　with　trephination　mini-craniectomy.We　retrospectively　reviewed　the　clinical　courses,　radiological　findings,　surgical　procedures,　and　prognoses　of　the　pediatric　patients　who　were　treated　in　our　departments　for　traumatic　PFEDH　from　January　2010　to　January　2015.During　this　period,　a　total　of　17　patients　were　surgically　treated　for　PFEDH　and　7　were　managed　with　trephination　mini-craniectomy　for　hematoma　evacuation.　The　outcomes　were　good　in　all　7　patients　as　evaluated　with　Glasgow　Outcome　Score.　There　was　no　mortality　in　this　series.　The　on　average　30-month　clinical　follow-up　showed　that　patients　experienced　satisfactory　recoveries　without　complications.Our　results　suggest　that　trephination　mini-craniectomy　is　a　safe　surgical　technique　for　selected　PFEDH　patients　with　moderate　hematoma　volume　and　stabilized　neurological　functions.　However,　standard　craniectomy　is　recommend　when　there　are　rapid　deteriorations　in　patients＇　neurological　functions　or　the　hematomas　are　large　and　exerted　severe　mass　effects.