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Endoscopic Transpterygoid Repair of Sphenoid Sinus Meningocele: A Comprehensive Case Report and Literature Review. | LitMetric

Endoscopic Transpterygoid Repair of Sphenoid Sinus Meningocele: A Comprehensive Case Report and Literature Review.

Auris Nasus Larynx

Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Published: October 2024

AI Article Synopsis

  • A 53-year-old Japanese man experienced cerebrospinal fluid leakage due to a meningocele in the sphenoid sinus, requiring a unique surgical intervention.
  • The treatment combined transpterygoid and endoscopic modified medial maxillectomy techniques, focusing on preserving the sphenopalatine artery to effectively use the nasoseptal flap for reconstruction.
  • This case demonstrates the shift from traditional frontal craniotomy to advanced endoscopic techniques, highlighting the importance of teamwork among specialists and careful surgical planning in complex procedures.

Article Abstract

We report a challenging and uncommon case involving a 53-year-old Japanese man with cerebrospinal fluid (CSF) leakage caused by a meningocele in the lateral recess of the sphenoid sinus. Our innovative treatment approach involved a combination of transpterygoid and endoscopic modified medial maxillectomy techniques, with special emphasis on the preservation of the sphenopalatine artery. This strategic preservation was pivotal to the successful use of the ipsilateral nasoseptal flap for reconstruction, which played a crucial role in the prevention of postoperative CSF leakage. Otolaryngologists and neurosurgeons collaborated to perform the bath-plugging technique; effective collaboration was instrumental to the success of the procedure. This report highlights significant advancement from conventional frontal craniotomy to a more sophisticated endoscopic technique, shows the importance of meticulous surgical planning and execution, emphasizes careful preservation of critical anatomical structures during complex neurosurgical and otolaryngological procedures, and underscores the evolving landscape of surgical approaches for managing complex medical conditions.

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Source
http://dx.doi.org/10.1016/j.anl.2024.08.003DOI Listing

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