Surgical Management of Spontaneous and Traumatic Anterior Skull Base Meningoceles: Technique and Pitfalls

Autor: Whitney B. Salem, Sukhwinder Js Sandhu, Daryoush Tavanaiepour, Iman Naseri, Demetri Arnaoutakis, Michael Petr
Rok vydání: 2014
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 151
ISSN: 1097-6817
0194-5998
DOI: 10.1177/0194599814541627a314
Popis: Objectives:A majority of anterior skull base meningoceles are often managed via the endoscopic endonasal approach (EEA) for the excision and repair of the cerebrospinal fluid (CSF) leak, in addition to the reconstruction of the skull base defect. The aim of the study was evaluation of an institutional case series to identify specific risks and strategies for successful management of anterior skull base meningoceles.Methods:Case series review of all surgical cases involving repair of any anterior skull base meningocele spanning 3 years.Results:A total of 18 patients were managed surgically for repair of meningocele with or without CSF rhinorrhea. All patients had postoperative follow-up to one year. EEA was used in 17 patients, and one had a combined transcranial with endoscopic approach. Four patients had meningoceles with a larger than 1.0-cm bony skull base defect. Large spontaneous meningoceles along the ethmoid were likely to include cerebrovascular structures within their intranasal component. Nasal ...
Databáze: OpenAIRE
Externí odkaz: