Cargando…
Transnasal endoscopic repair of pediatric meningoencephalocele
INTRODUCTION: Encephaloceles in relation to the nose are rare lesions affecting the skull base. In the pediatric population, majority are congenital lesions manifesting as nasal masses requiring surgical intervention. MATERIALS AND METHODS: A retrospective study of 6 consecutive patients below 12 ye...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862287/ https://www.ncbi.nlm.nih.gov/pubmed/27195032 http://dx.doi.org/10.4103/1817-1745.181249 |
_version_ | 1782431344103522304 |
---|---|
author | Keshri, Amit Kumar Shah, Saurin R. Patadia, Simple D. Sahu, Rabi N. Behari, Sanjay |
author_facet | Keshri, Amit Kumar Shah, Saurin R. Patadia, Simple D. Sahu, Rabi N. Behari, Sanjay |
author_sort | Keshri, Amit Kumar |
collection | PubMed |
description | INTRODUCTION: Encephaloceles in relation to the nose are rare lesions affecting the skull base. In the pediatric population, majority are congenital lesions manifesting as nasal masses requiring surgical intervention. MATERIALS AND METHODS: A retrospective study of 6 consecutive patients below 12 years of age with intranasal meningoencephalocele treated by endonasal endoscopic approach at our tertiary centre was done. The follow up period ranged from 6 months to 2 years. A detailed clinical and radiological evaluation of these cases was done. Endonasal endoscopic repair (gasket seal/fat plug) was carried out in all cases. RESULTS: Out of 6 patients, 4 patients had post-traumatic and rest 2 cases had congenital meningo-encephaloceles. All patients were asymptomatic in post-operative follow up period. One patient had minor complication of nasal alar collapse due to intra-operative adherence of encephalocele to cartilaginous framework. CONCLUSION: Transnasal endoscopic repair of anterior skull base meningoencephalocele is a minimally invasive single stage surgery, and has advantage in terms of lesser hospital stay, cost of treatment, and better cosmesis. The repair technique should be tailored to the size of defect to provide a water-tight seal for better outcome. |
format | Online Article Text |
id | pubmed-4862287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-48622872016-05-18 Transnasal endoscopic repair of pediatric meningoencephalocele Keshri, Amit Kumar Shah, Saurin R. Patadia, Simple D. Sahu, Rabi N. Behari, Sanjay J Pediatr Neurosci Original Article INTRODUCTION: Encephaloceles in relation to the nose are rare lesions affecting the skull base. In the pediatric population, majority are congenital lesions manifesting as nasal masses requiring surgical intervention. MATERIALS AND METHODS: A retrospective study of 6 consecutive patients below 12 years of age with intranasal meningoencephalocele treated by endonasal endoscopic approach at our tertiary centre was done. The follow up period ranged from 6 months to 2 years. A detailed clinical and radiological evaluation of these cases was done. Endonasal endoscopic repair (gasket seal/fat plug) was carried out in all cases. RESULTS: Out of 6 patients, 4 patients had post-traumatic and rest 2 cases had congenital meningo-encephaloceles. All patients were asymptomatic in post-operative follow up period. One patient had minor complication of nasal alar collapse due to intra-operative adherence of encephalocele to cartilaginous framework. CONCLUSION: Transnasal endoscopic repair of anterior skull base meningoencephalocele is a minimally invasive single stage surgery, and has advantage in terms of lesser hospital stay, cost of treatment, and better cosmesis. The repair technique should be tailored to the size of defect to provide a water-tight seal for better outcome. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4862287/ /pubmed/27195032 http://dx.doi.org/10.4103/1817-1745.181249 Text en Copyright: © 2016 Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Keshri, Amit Kumar Shah, Saurin R. Patadia, Simple D. Sahu, Rabi N. Behari, Sanjay Transnasal endoscopic repair of pediatric meningoencephalocele |
title | Transnasal endoscopic repair of pediatric meningoencephalocele |
title_full | Transnasal endoscopic repair of pediatric meningoencephalocele |
title_fullStr | Transnasal endoscopic repair of pediatric meningoencephalocele |
title_full_unstemmed | Transnasal endoscopic repair of pediatric meningoencephalocele |
title_short | Transnasal endoscopic repair of pediatric meningoencephalocele |
title_sort | transnasal endoscopic repair of pediatric meningoencephalocele |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862287/ https://www.ncbi.nlm.nih.gov/pubmed/27195032 http://dx.doi.org/10.4103/1817-1745.181249 |
work_keys_str_mv | AT keshriamitkumar transnasalendoscopicrepairofpediatricmeningoencephalocele AT shahsaurinr transnasalendoscopicrepairofpediatricmeningoencephalocele AT patadiasimpled transnasalendoscopicrepairofpediatricmeningoencephalocele AT sahurabin transnasalendoscopicrepairofpediatricmeningoencephalocele AT beharisanjay transnasalendoscopicrepairofpediatricmeningoencephalocele |