Endoscopic management of congenital nasal meningoencephaloceles: a short series of 15 paediatric cases.

Abstract

PURPOSE:

To retrospectively analyse surgical management of clinico-radiologically proven nasal meningoencephalocele amongst children and results of repair with single-layer septo-mucosal flap at a tertiary skull base surgery centre in north India.

METHODS:

Fifteen children with clinic-radiological nasal meningoencephaloceles with or without CSF rhinorrhoea were included. Radiological scans included CT scans and MRI scans for all cases to delineate soft tissue and bony architecture. All children underwent endoscopic excision of encephaloceles and repair of the skull base defect.

RESULTS:

The authors were successful in fourteen cases. Successful cases included 4 children less than 6 months of age who underwent single-layer rotated septo-mucosal flaps, thereby avoiding donor site morbidity.

CONCLUSION:

As endoscopic excision of nasal encephalocele is an established management approach, the authors take the concept of minimally invasive surgery a step further by successfully managing these lesions with single-layer repair. Vascularized septo-mucosal flap seems to be the only determining factor for a successful repair for congenital meningoencephalocele. However, a prospective study comprising a larger subset of patients would substantiate the assumption.

• Authors: Satyawati Mohindra, Sandeep Mohindra, Shaurya Mahendru, Ninad R Patil
• Journal: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (Childs Nerv Syst) Vol. 36 Issue 12 Pg. 3059-3062 (12 2020) ISSN: 1433-0350 [Electronic] Germany
• PMID: 32382868 (Publication Type: Journal Article)

Topics

• Child
• Encephalocele (diagnostic imaging, surgery)
• Endoscopy
• Humans
• India
• Meningocele (diagnostic imaging, surgery)
• Prospective Studies
• Retrospective Studies
• Skull Base (diagnostic imaging, surgery)