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Operative technique: Endoscopic transnasal surgery for congenital meningoencephalocele of the anterior skull base.
Am J Otolaryngol
December 2024
Otolaryngology-Head and Neck Surgery Department, "San Bortolo" Hospital, Vicenza, Italy.
Congenital meningoencephaloceles of the anterior skull base (ASB) are rare lesions that become evident during childhood and, if not properly diagnosed and treated, can be associated with severe complications. In the past, encephaloceles were treated exclusively with open surgical approaches, which, however, are associated with high complication rates. Recent years have seen the large-scale introduction of transnasal endoscopic approaches to the skull base, and several Authors suggest that endoscopic resection and repair in cases of meningoencephalocele may be the treatment of first choice, being associated with lower complication rates and reduced operative time compared with open procedures.
View Article and Find Full Text PDF[Application of nasal pedicle mucosal flap based on nasal blood supply in reconstruction of nasal skull base defects].
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
November 2024
Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Key Laboratory of Otolaryngology Major Diseases in Hunan Province, Changsha410008, China.
Article Synopsis
- The study assessed the effectiveness of nasal pedicle tissue flap techniques for repair of skull base defects in 138 cases from March 2017 to March 2023 at a hospital in China.
- Out of the patients, 96.4% had successful primary repairs, while 3.6% experienced complications like cerebrospinal fluid leaks.
- Various flap techniques were utilized based on blood supply sources, with the posterior nasal septal artery being the most common, and complications were managed successfully.
[Sincipital meningoencephaloceles: Clinical and surgical considerations].
Ann Chir Plast Esthet
November 2024
Service de chirurgie maxillo-faciale et plastique de la face, hôpital Purpan, CHU de Toulouse, place du Dr-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
Sincipital meningoencephaloceles (MECs) are rare congenital malformations characterized by the herniation of brain or meningeal tissue through an opening in the anterior floor of the skull base. These malformations always affect the frontal bone, specifically the glabellar region and the naso-frontal angle. A collaboration between Médecins du Monde and the Children's Surgical Center in Phnom Penh has enabled the treatment of over four hundred cases over twenty years.
View Article and Find Full Text PDFManagement of Massive Iatrogenic Temporal Lobe Meningoencephalocele and Bacterial Meningitis Following Pediatric Cochlear Implant Surgery.
Otol Neurotol
January 2025
Eaton-Peabody Laboratories, Massachusetts Eye and Ear (MEE), Department of Otolaryngology, Harvard Medical School, Boston, MA.
Objective: To review the management of meningitis, large lateral skull base defect, and meningoencephalocele following pediatric cochlear implant (CI) surgery.
Study Design: Case report.
Methods: Patient demographics, medical and surgical history, computed tomography (CT).
A management algorithm for idiopathic intracranial hypertension in skull base meningoencephaloceles.
J Neurosurg
September 2024
1Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland.
Article Synopsis
- The study evaluated an algorithm designed for diagnosing and managing idiopathic intracranial hypertension (IIH) in patients who had surgery for skull base meningoencephaloceles and experienced spontaneous cerebrospinal fluid (sCSF) leaks.
- The researchers reviewed records from 80 patients treated between 2014 and 2021, measuring their opening pressure (OP) and categorizing them into high, intermediate, or low-risk groups based on the OP.
- The findings revealed a VPS rate of 15%, with low recurrence rates for acute (3.8%) and remote CSF leaks (3.8%), highlighting the effectiveness of the proposed management strategy in understanding CSF dynamics in these patients.*
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