Obstructing Encephaloceles Presenting as Chronic Rhinosinusitis: Lessons Learned from a Case Series
| Autor: | James A. Stankiewicz, James J. Jaber, Nicolaus Hawbaker |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Leak medicine.medical_specialty Chronic rhinosinusitis Encephalocele Central nervous system disease Cerebrospinal fluid otorhinolaryngologic diseases medicine Humans Sinusitis Sinus (anatomy) Rhinitis business.industry General Medicine Sinus surgery medicine.disease Surgery Ethmoid Bone medicine.anatomical_structure Surgery Computer-Assisted Otorhinolaryngology Chronic Disease Female Tomography X-Ray Computed business |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 120:474-477 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/000348941112000709 |
| Popis: | We present a unique anatomic cause of encephalocele, and describe appropriate diagnosis. Two patients underwent stereotactic image-guided sinus surgery for presumed chronic rhinosinusitis with intraoperative findings of a sinus encephalocele. The first patient underwent a conservative 2-stage management that included an initial cerebrospinal fluid (CSF) leak repair followed by encephalocele resection. The second patient underwent a 1-stage encephalocele resection and CSF leak repair with a septal graft. The sinus surgeon needs to consider the possibility of encephalocele when the ethmoid, sphenoid, or, rarely, frontal sinuses present with an isolated opacification that does not improve with conservative medical therapy. |
| Databáze: | OpenAIRE |
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