Archives of otolaryngology--head & neck surgery · 1999
Transnasal endoscopic repair of congenital defects of the skull base in children.
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Van Den Abbeele T, Elmaleh M, Herman P, François M, Narcy P
Аннотация
OBJECTIVE: To examine imaging findings and methods of endoscopic treatment of congenital skull base defects in children.
DESIGN: Retrospective study and case series.
SETTING: Academic tertiary care center.
PATIENTS: Four patients (aged 12 and 14 months and 8 and 13 years) were included from 1995 to 1997. Three presented with a nasal glioma, which was recurrent in 1 case. The fourth patient presented with bacterial meningitis due to a spontaneous cerebrospinal fluid leak. Computed tomography and magnetic resonance imaging were used to locate the defect of the skull base.
INTERVENTION: Transnasal endoscopic resection of the glioma or the meningocele, with immediate repair of the skull base defects using free mucosal flaps and/or pediculized mucosal flaps and/or conchal cartilage together with fibrin glue and nasal packing during a 3-week period.
RESULTS: None of the 4 patients has experienced recurrent cerebrospinal fluid leaks or postoperative meningitis.
CONCLUSIONS: The transnasal endoscopic repair of congenital meningoceles is a reliable technique in select pediatric patients. Computed tomography and magnetic resonance imaging provide information that can be used to help the surgical procedure.
DESIGN: Retrospective study and case series.
SETTING: Academic tertiary care center.
PATIENTS: Four patients (aged 12 and 14 months and 8 and 13 years) were included from 1995 to 1997. Three presented with a nasal glioma, which was recurrent in 1 case. The fourth patient presented with bacterial meningitis due to a spontaneous cerebrospinal fluid leak. Computed tomography and magnetic resonance imaging were used to locate the defect of the skull base.
INTERVENTION: Transnasal endoscopic resection of the glioma or the meningocele, with immediate repair of the skull base defects using free mucosal flaps and/or pediculized mucosal flaps and/or conchal cartilage together with fibrin glue and nasal packing during a 3-week period.
RESULTS: None of the 4 patients has experienced recurrent cerebrospinal fluid leaks or postoperative meningitis.
CONCLUSIONS: The transnasal endoscopic repair of congenital meningoceles is a reliable technique in select pediatric patients. Computed tomography and magnetic resonance imaging provide information that can be used to help the surgical procedure.