Abstract
Fronto-ethmoidal meningocoele is a rare congenital condition with protrusion of meninges through anterior cranial fossa into the facial skeleton, surgical repair should be done in order to resolve nasal obstruction, provide a watertight division between sino-nasal and intra-cranial cavities and minimise injury to any CNS contents (Maddalozzo in Issue Otolaryngol Clin N Am 2015). Open approaches may be required but endoscopic endo-nasal repairs can be done in paediatric skull-base defects. A 3 month-old infant with fronto-ethmoidal meningocele operated with endo-nasal approach. In regular follow up and there is no recurrence reported till now. Recent techniques and skills will increase the use of endo-nasal approaches in paediatric skull-base surgery without complications associated with external approaches.
References
Maddalozzo J, Rastatter JC (2015) Pediatric head and neck masses. Otolaryngologic clinics of North America, vol 48. Elsevier, New York, p 91
Albright AL, Pollack IF, Adelson PD. Operative techniques. In: Pediatric neurosurgery. Thieme New York, pp 37–50
Hoving EW, Vermeij-Keers C (1997) Frontoethmoidal encephaloceles, a study of their pathogenesis. Pediatr Neurosurg 27:246–256
Love S, Louis DN, Ellison DW (2008) Greenfield’s neuropathology, 8th edn. CRC Press, Boca Raton
David DJ (1993) Cephaloceles: classification, pathology, and management—a review. J Craniofac Surg 4:192–202
El-Banhawy OA, Halaka AN (2009) Endoscopic endonasal excision of congenital midline meningoencephalocele in a 5-month infant. Int J Pediatr Otorhinolaryngol Extra 4:66–71
Malik R, Pandya VK, Parteki A (2004) Fronto ethmoidal meningocele. Indian J Radiol Imaging 14(4):379–381
Bothwell MR, Piccirillo JF, Lusk RP et al (2002) Long-term outcome of facial growth after functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 126:628–634
Hamlin K, Kubba H (2007) Endoscopic excision of a nasal meningoen–cephalocoele in an infant. Int J Pediatr Otorhinolaryngol Extra 2:92–94
Schlosser RJ, Bolger WE (2004) Nasal cerebrospinal fluid leaks: critical review and surgical considerations. Laryngoscope 114:255–265
Lorenz RR, Dean RL, Hurley DB et al (2003) Endoscopic reconstruction of anterior and middle cranial fossa defects using acellular dermal allograft. Laryngoscope 113:496–501
El-Banhawy OA, Halaka AN, El-Dien AHS et al (2004) Subcranial trans- nasal repair of cerebrospinal fluid rhinorrhoea by the combined overlay and underlay techniques. Minim Invasive Neurosurg J 47:1–6
Castelnuovo P, Bignami M, Pistochini A et al (2009) Endo-scopic endonasal management of encephaloceles in children: an eight-year experience. Int J Pediatr Otorhinolaryngol 73:1132–1136
Woodworth B, Schlosser RJ (2005) Endoscopic repair of a congenital intranasal encephalocele in a 23-month-old infant. Int J Pediatr Otorhinolaryngol 69:1007–1009
Gassaba E, Krifaa N, Kedousa S, Zrigb A, Hattabc N, Harrathia K, Koubaaa J, Gassaba A (3) Endoscopic endonasal management of congenital intranasal meningocele in a 2-month-old infant 1879-7296/$—see front matter © 2013 Published by Elsevier Masson SAS. E-mail address: eliegas@voila.fr (E. Gassab)
Mohindra S, Mohindra S, Patro SK (2015) Successful endoscopic endonasal repair of nasal meningoencephalocele in a 21-day-old neonate. Allergy Rhinol 6(2):e125–e128
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Khandelwal, G., Sharma, M. & Gupta, P. Endoscopic Management of Congenital Intranasal Meningocele in 3-Month Old Infant. Indian J Otolaryngol Head Neck Surg 68, 544–546 (2016). https://doi.org/10.1007/s12070-016-1017-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-016-1017-x