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Endoscopic endonasal approach of congenital meningoencephalocele surgery: first reported case in lithuania.

Balseris S, Strazdas G, Ročka S, Jakštas T - Case Rep Otolaryngol (2015)

Bottom Line: The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented.Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used.It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

View Article: PubMed Central - PubMed

Affiliation: Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.

ABSTRACT
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

No MeSH data available.


Related in: MedlinePlus

Steps of operation. (a) Bony defect and CSF leakage are identified. (b) Location of meningoencephalocele is established. (c) Sharp fragments of bony defect are being removed. (d) Temporal fascia flap is inserted between dura mater and bone. (e) Middle turbinate flap is covering the outer part of the defect. (f) Nasal cavity filled with synthetic glue (Duraseal).
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fig3: Steps of operation. (a) Bony defect and CSF leakage are identified. (b) Location of meningoencephalocele is established. (c) Sharp fragments of bony defect are being removed. (d) Temporal fascia flap is inserted between dura mater and bone. (e) Middle turbinate flap is covering the outer part of the defect. (f) Nasal cavity filled with synthetic glue (Duraseal).

Mentions: Maxillary sinus, frontal sinus, and frontal recess were opened. Anterior and posterior ethmoidal cells were removed and bony defect and CSF leakage were identified (Figure 3(a)). Location of meningoencephalocele was ascertained (Figure 3(b)). Temporal fascia was taken as first, intracranial flap and mucosa-periosteum layer from the middle turbinate was chosen as second, extracranial flap, for the bony defect correction.


Endoscopic endonasal approach of congenital meningoencephalocele surgery: first reported case in lithuania.

Balseris S, Strazdas G, Ročka S, Jakštas T - Case Rep Otolaryngol (2015)

Steps of operation. (a) Bony defect and CSF leakage are identified. (b) Location of meningoencephalocele is established. (c) Sharp fragments of bony defect are being removed. (d) Temporal fascia flap is inserted between dura mater and bone. (e) Middle turbinate flap is covering the outer part of the defect. (f) Nasal cavity filled with synthetic glue (Duraseal).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4383246&req=5

fig3: Steps of operation. (a) Bony defect and CSF leakage are identified. (b) Location of meningoencephalocele is established. (c) Sharp fragments of bony defect are being removed. (d) Temporal fascia flap is inserted between dura mater and bone. (e) Middle turbinate flap is covering the outer part of the defect. (f) Nasal cavity filled with synthetic glue (Duraseal).
Mentions: Maxillary sinus, frontal sinus, and frontal recess were opened. Anterior and posterior ethmoidal cells were removed and bony defect and CSF leakage were identified (Figure 3(a)). Location of meningoencephalocele was ascertained (Figure 3(b)). Temporal fascia was taken as first, intracranial flap and mucosa-periosteum layer from the middle turbinate was chosen as second, extracranial flap, for the bony defect correction.

Bottom Line: The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented.Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used.It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

View Article: PubMed Central - PubMed

Affiliation: Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.

ABSTRACT
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.

No MeSH data available.


Related in: MedlinePlus