Nasal encephalocele: Endoscopic excision with anesthetic consideration

Abdel‐Aziz, Mosaad; Elbosraty, Hussam; Qotb, Mohamed; El-Hamamsy, Mostafa; Elsonbaty, Mohamed; Abdel-Badie, Hazem; Zynabdeen, Mustapha

doi:10.1016/j.ijporl.2010.04.015

Cited by 30 publications

(13 citation statements)

References 17 publications

(20 reference statements)

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“…In our case, the tumor extended through the cribriform plate and it was visible only in the nasal fossa. Due to this position we classified it as a transethmoidal MEC 12 . Diagnosis of MEC can be difficult at first due to non-specific symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…More modern endoscopic endonasal surgical techniques are used in cases were the tumor size and the skull base defects are manageable. These techniques have been very successful in many cases 8,12,13 . In the case presented by us, the tumor was resected en-block using an endoscopic endonasal approach, in a mixed ENT-neurosurgical operating team.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is the only choice for MEC and, depending on the size and location, it can be done through different approaches, such as lateral rhinotomy, bicoronal flap, or intranasal techniques 8,11 . Recent advancement of endoscopic endonasal techniques has made this type of surgery more frequently used, and it has been successful in many cases of nasal MEC 12,13 . ABSTRACT Nasal meningoencephaloceles are rare findings, represented by protrusions of intracranial contents into the nasal cavity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Budu

Decuseară²,

Costache³

et al. 2017

Romanian Journal of Rhinology

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Nasal meningoencephaloceles are rare findings, represented by protrusions of intracranial contents into the nasal cavity. They present as unilateral masses, and commonly determine unilateral nasal obstruction, rhinorrhea and non-characteristic headaches.We present the case of a 34-year-old patient diagnosed with a posttraumatic transethmoidal meningoencephalocele. The patient presented with unilateral nasal obstruction, mild headache and episodic watery rhinorrhea. The treatment was endoscopic endonasal surgical excision and repair of the skull base defect, in a mixt ENT-neurosurgical team. Patient follow-up showed no remaining mass or symptoms and normal closure of the skull base defect.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Budu

Decuseară²,

Costache³

et al. 2017

Romanian Journal of Rhinology

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“…Several surgical approaches have been proposed such as transcranial, facial and endonasal endoscopic surgery. These approaches may be used alone or in combination [3,6,9,11,14,15,16,17]. The transcranial approach has the advantage of reviewing the contents of the hernial sac, easing the removal of the malformed cerebral tissue and achieving satisfactory dural closure.…”

Section: Discussionmentioning

confidence: 99%

“…This is why it is often combined with the facial approach, which has an advantage on bone and cutaneous repairs but is limited in terms of dural closure [6,14,17]. The endoscopic endonasal route alone [11,15,16] or combined [2,17] with the transcranial approach (in large bone defects) was also used for the treatment of sincipital cephaloceles. With the endoscopic approach, a small defect can be closed using a small harvest of the nasal septum [11].…”

Section: Discussionmentioning

confidence: 99%

Frontoethmoidal Cephalocele: Our Experience of Eleven Cases Managed Surgically

Zabsonre¹,

Kabré²,

Haro³

2015

Pediatr Neurosurg

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Introduction: Frontoethmoidal or sincipital cephaloceles are congenital malformations characterized by externalization of the meninges and/or brain tissue through a congenital bone defect between the frontal and ethmoid bones. These sincipital cephaloceles are very infrequent. While in developed countries the measures taken have brought about virtually zero frequency of this pathology, in our work environment these measures are virtually nonexistent, so that frontoethmoidal cephaloceles remain one of our concerns. Aim: To describe the particularity of the management of frontoethmoidal cephaloceles in our country. Methods: This was a retrospective study carried out between January 1, 2007 and June 30, 2013. It concerned all cases of frontoethmoidal cephaloceles managed in the Neurosurgery Department of the University Hospital of Ouagadougou. Results: A total of 11 patients (6 females and 5 males) were attended to in 6.5 years. The age of the patients ranged from 1 day to 12 years, and 8 patients (72.72%) were less than 4 months old; 1 case was diagnosed at antenatal ultrasound. Clinically, all cases consisted of congenital cephalic swelling of gradual increase. A CT scan was performed in all cases and an ultrasound of the associated mass was carried out in 2 cases. Transcranial approach was done for all patients with 3 patients having had an incision of the mass to reduce redundant skin. The immediate postoperative course was favorable in 10 cases; 1 death was observed by cerebrospinal meningitis. We noted 1 case of recurrence. Conclusion: The surgical treatment of frontoethmoidal cephaloceles is complex, sometimes requiring a multidisciplinary team. However, early closing of the malformation before the appearance of important bone deformities can prevent maxillofacial surgery. The results of the surgery are satisfactory as regards the vital prognosis. However, the fear of a more or less long-term occurrence of psychomotor retardation and the complications of early surgery make the recommendation and emphasis of prevention our main concern.

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Bath‐plug technique for the endoscopic management of cerebrospinal fluid leaks in children

Yang

Tang

Wang

et al. 2022

Pediatric Investigation

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Importance The safety and efficacy of the bath‐plug technique for the closure of cerebrospinal fluid (CSF) leaks in children remain unknown. Objective We undertook this study to ascertain whether the bath‐plug technique was safe and effective for the repair of CSF leaks. Methods We retrospectively reviewed patients who underwent endoscopic repair of CSF leaks with the fat graft as a plug‐in at Beijing Children's Hospital from March 2016 to May 2020. Demographic data, medical history, defect sites and sizes, interventions, and clinical outcomes were analyzed. One representative clinical case was additionally selected to highlight the procedure and the healing process. Results A total of 18 pediatric patients were included in this study. The group was composed of 11 boys and seven girls, aged from 5 to 123 months. The etiologies included congenital CSF leaks ( n = 9) and head trauma ( n = 9). Among all patients, 12 fistulas (66.7%) were located at the cribriform plate area, two (11.1%) at the roof of the ethmoid sinuses, two (11.1%) in the sphenoid sinus, and two (11.1%) at the frontal sinus. The maximum diameters of fistulas ranged from 5 to 20 mm, with a median value of 8 mm. Encephaloceles were identified in 14 (77.8%) patients. No hydrocephalus was recognized. All CSF leaks were successfully repaired with a bath‐plug technique. Follow‐up ranged from 50 to 70 months. No surgical complications were encountered in any patient. Interpretation Bath‐plug technique is safe and reliable for the endoscopic management of CSF leaks in children. Meticulous peri‐operative preparations are important for pediatric patients.

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Nasal encephalocele: Endoscopic excision with anesthetic consideration

Cited by 30 publications

References 17 publications

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Endoscopic endonasal resection of a nasal meningoencephalocele - Case report

Frontoethmoidal Cephalocele: Our Experience of Eleven Cases Managed Surgically

Bath‐plug technique for the endoscopic management of cerebrospinal fluid leaks in children

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