Pediatric meningoencephaloceles and nasal obstruction: A case for endoscopic repair
| Autor: | Joseph M. Bernstein, Seth J. Kanowitz |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Cerebrospinal Fluid Rhinorrhea medicine.medical_treatment Population Meningocele Tertiary care Computed tomographic otorhinolaryngologic diseases medicine Humans Child education Craniotomy Encephalocele Retrospective Studies Skull Base education.field_of_study medicine.diagnostic_test business.industry Infant Endoscopy Magnetic resonance imaging General Medicine Magnetic Resonance Imaging Surgery Skull medicine.anatomical_structure Otorhinolaryngology Pediatrics Perinatology and Child Health Female Nasal administration Nasal Obstruction Tomography X-Ray Computed business |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 70:2087-2092 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2006.08.007 |
| Popis: | Summary Objectives Congenital anterior skull base defects with meningoencephaloceles causing nasal obstruction are rare clinical entities. Nasal obstruction in children may also be a symptom of multiple benign nasal and allergic disorders, making the initial diagnosis of meningoencephalocele difficult. Traditionally, skull base defects have been repaired via a bifrontal craniotomy approach. With the advent of pediatric endoscopic instrumentation, more of these lesions are accessible via an intranasal endoscopic approach, even in the infant population. However, owing to the rarity of these lesions, there is a paucity of data demonstrating successful adaptation of endoscopic skull base techniques to the pediatric population. Methods Retrospective review of two cases of endoscopic repair of anterior skull base defects with meningoencephaloceles at a tertiary care medical center. Results Two children, ages 15 months and 6 years, underwent successful endoscopic closure of their anterior skull base defects and resection of their intranasal meningoencephalocele with resolution of their nasal obstruction and cerebrospinal fluid rhinorrhea. Conclusions Pediatric nasal meningoencephaloceles with anterior skull base defects can be successfully repaired via a transnasal endoscopic technique, thus minimizing the complications associated with craniotomy and frontal lobe retraction. Triplanar computed tomographic and magnetic resonance imaging is paramount to evaluate the caliber of the skull base defect, consistency of the herniated intracranial contents, as well as the presence of cerebral vasculature. |
| Databáze: | OpenAIRE |
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