| Autor: |
AlGhamdi, Shatha, Al Hassan, Fatimah, Al-khatib, Abdulrahman, Almomen, Ali |
| Předmět: |
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| Zdroj: |
Pan Arab Journal of Neurosurgery (PAJN); Dec2023, Vol. 18 Issue 2, p157-162, 6p |
| Abstrakt: |
BACKGROUND: Skull base defects are considered one of the rarest conditions in children. The diagnosis and management of skull base defects in pediatrics are challenging. These defects can be congenital or acquired in etiology. OBJECTIVE: To assess our experience with the endoscopic endonasal management of pediatric sinonasal meningoencephaloceles and anterior skull base defects in a tertiary referral hospital. PATIENTS AND METHODS: This is a retrospective study involving 6 pediatric patients, with age ranging from 2 months to 15 years, who underwent endoscopic endonasal sinonasal meningoencephaloceles excision and skull base reconstruction between the period of 2010 and 2020. Three patients were repaired with multilayer technique using septal bone as an underlay, mucosal graft as an overly and supported with gelfoam. The other 3 patients were managed by single layer repair with mucosal graft that was supported with tissue glue and gelfoam. RESULTS: The study included a total of 6 pediatric patients with main presenting symptoms of nasal obstruction, cerebrospinal fluid (CSF) leak, and meningitis. All patients had a successful excision of their sinonasal meningoencephaloceles and skull base repair using the image guided endoscopic endonasal approach with no postoperative complications. The follow-up period ranged from 3 to 9 years, with a mean follow up period of 5.5 years. All of our patients were asymptomatic and recurrence-free during the follow-up period, with 100% success rate. CONCLUSION: Careful history taking, endoscopic examination and radiological investigations are important for accurate diagnosis and management of pediatric sinonasal meningoencephaloceles. The endoscopic endonasal approach is the method of choice in repairing anterior skull base defects in pediatric patients. The advantages of this approach are direct visualization, minimal invasiveness, and safety, with low morbidities and short hospital stay. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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