Endoscopic endonasal management of congenital intranasal meningocele in a 2-month-old infant

Gassab, E.; Krifa, N.; Kedous, Skander; Zrig, A.; Hattab, N.; Harrathi, K.; Koubaa, Jamel; Gassab, A.

doi:10.1016/j.anorl.2011.10.013

Cited by 15 publications

(15 citation statements)

References 9 publications

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“…The youngest reported patient to undergo EES for meningocele repair was 2 months old at the time of surgery. 42 Control magnetic resonance imaging done 8 months postoperatively was described as normal, and no complications were reported over 2 years. A previously reported patient was 5 months old at surgery 43 with no complications at 3-month follow-up.…”

Section: Reported Casesmentioning

confidence: 89%

Endoscopic Endonasal Repair of Congenital Defects of the Anterior Skull Base: Developmental Considerations and Surgical Outcomes

Gump

2015

J Neurol Surg B

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Techniques of endoscopic endonasal surgery, initially developed primarily for intracranial neoplasms, have been adapted to treat a wide variety of pathologies previously addressed with open craniotomy including congenital and acquired defects of the anterior skull base. Congenital defects can lead to herniation of leptomeninges containing cerebrospinal fluid alone or with brain tissue. Specific types of encephalocele can be defined on the basis of the associated abnormal bony anatomy. Endoscopic endonasal surgery represents a relatively recent development in the treatment of these entities. Technical considerations include relatively younger age range of the patient population, dimensions of preexisting bony defect, volume of herniated meninges and brain tissue, and distorted anatomy from abnormal development of the affected craniofacial skeleton. Recent highly detailed anatomical studies have quantitatively verified the utility of endoscopic endonasal surgery in the pediatric population. Particular attention has been directed toward adequacy of nasoseptal flap reconstruction in pediatric patients. Several reports have described patients with encephalocele of the anterior cranial fossa successfully treated with endoscopic surgery. The literature on endoscopic repair of congenital encephalocele is reviewed. Outcomes have generally been reported as favorable, although long-term follow-up and systematic studies have not been pursued.

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Section: Reported Casesmentioning

confidence: 89%

Endoscopic Endonasal Repair of Congenital Defects of the Anterior Skull Base: Developmental Considerations and Surgical Outcomes

Gump

2015

J Neurol Surg B

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“…B. Meningozelen der Siebbeinplatte) bei Kindern z. B. schon im ersten Lebensjahr vorgenommen [154,155]. ▶ Pathologische Prozesse unterhalb der "naso-axialen", "nasopalatinalen" oder "palatinalen Linie" (s.…”

Section: Absolute Und Relative Kontraindikationenunclassified

“…Unverzichtbare Bestandteile sind Endoskope unterschiedlicher Blickablenkung (0 °, 30 °, 45, 70 °) und HD-Video-Ketten mit mehreren Monitoren [45,50,111,116,160,326,[344][345][346]. Üblich sind 4 mm i. D. Endoskope, im Einzelfall bei Kindern auch 2,7 mm i. D. [150,155,332,[347][348][349]. Am gebräuchlisten ist die 0 ° Optik, gefolgt vom 30 ° Endoskop [188,350].…”

Section: Instrumente Vorbereitung Zur Anaesthesie Monitoringunclassified

Rhino-Neurochirurgie

Hosemann

Schroeder

2015

Laryngo-Rhino-Otol

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In the past 2 decades, an innovative and active field of surgical collaboration has been evolved and established combining the expertise of Neurosurgery and Rhinosurgery in treatment of different lesions affecting the anterior skull base together with the adjacent intranasal and intradural areas. Important prerequesites for this development were improvements of technical devices, definitions of transnasal surgical corridors and approvements in endonasal reconstruction e. g. by use of pedicled nasal mucosal flaps. Interdisciplinary surgical teams have been established constituting specialized centers of "rhino-neurosurgery". With growing experience of these groups, it could be shown that oncological results and perioperative complications were comparable to traditional surgery while at the same time, patient's morbidity could be reduced.The present review encompasses the recent literature focussing on the development, technical details, results and complications of "rhino-neurosurgery".

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“…Though the techniques of endoscopic skull base surgery were carried on to the pediatric population, there has been limited publication on the topic compared to adult literature. There are several case reports outlining the use of endoscopic techniques in the management of congenital meningoencephaloceles [16][17][18][19], benign tumors [20,21], and bony lesions [22]. As juvenile nasopharyngeal angiofibroma (JNA) is exclusive to the adolescent age group, endoscopic management of this lesion is more widely described [15,[23][24][25][26][27][28].…”

Section: Applications To Pediatric Patientsmentioning

confidence: 99%

Endoscopic Skull Base Surgery in the Pediatric Patient

Walz¹,

Elmaraghy²,

Jatana³

2015

Endoscopy - Innovative Uses and Emerging Technologies

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Pathology along the anterior and posterior skull base has long posed challenges to surgeons due to the difficulty accessing these locations and complexity of the surrounding neurovascular anatomy. Initial surgical management of these disorders included open craniofacial approaches and/or craniotomy and these approaches are still utilized today for selected cases. However, advances in the later half of the 20th century in optics, endoscope design, and high definition digital images allowed the development of microscopic and, more recently, endoscopic approaches to the skull base. This technology was initially developed and used in adults, but has been adapted over time for use in the pediatric patient. In this chapter, the salient points regarding pediatric endoscopic skull base surgery will be reviewed to provide the reader a framework for understanding the indications, pertinent anatomy, preoperative evaluation, and intraoperative management of skull base pathology, highlighting challenges and circumstances unique to the pediatric population.

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Endoscopic endonasal management of congenital intranasal meningocele in a 2-month-old infant

Abstract: Steady progress in instrumentation, technique and skills will increase the feasibility of skull-base surgery using an endonasal approach in the pediatric population.

Cited by 15 publications

References 9 publications

Endoscopic Endonasal Repair of Congenital Defects of the Anterior Skull Base: Developmental Considerations and Surgical Outcomes

Endoscopic Endonasal Repair of Congenital Defects of the Anterior Skull Base: Developmental Considerations and Surgical Outcomes

Rhino-Neurochirurgie

Endoscopic Skull Base Surgery in the Pediatric Patient

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