Gigant Transethmoidal Meningoencephalocele Operated by Full Endonasal Endoscopic Approach: Case Report

Arbolay, Omar López; Manresa, Jorge Rojas; González, Justo González; Rosario, Jose Luis Bretón

doi:10.1155/2012/763259

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…unter Verwendung z. B. des naso-septalen Lappens [336,352,[656][657][658]. Im Literaturüberblick ist die endoskopische endonasale Chirurgie bei der Versorgung von Schädelbasisdefekten ebenso sicher und effektiv wie die traditionellen Eingriffe.…”

Section: Enzephalozelen Meningozelen Liquorfistelnunclassified

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Rhino-Neurochirurgie

Hosemann

Schroeder

2015

Laryngo-Rhino-Otol

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In the past 2 decades, an innovative and active field of surgical collaboration has been evolved and established combining the expertise of Neurosurgery and Rhinosurgery in treatment of different lesions affecting the anterior skull base together with the adjacent intranasal and intradural areas. Important prerequesites for this development were improvements of technical devices, definitions of transnasal surgical corridors and approvements in endonasal reconstruction e. g. by use of pedicled nasal mucosal flaps. Interdisciplinary surgical teams have been established constituting specialized centers of "rhino-neurosurgery". With growing experience of these groups, it could be shown that oncological results and perioperative complications were comparable to traditional surgery while at the same time, patient's morbidity could be reduced.The present review encompasses the recent literature focussing on the development, technical details, results and complications of "rhino-neurosurgery".

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Section: Enzephalozelen Meningozelen Liquorfistelnunclassified

“…Es werden ggf. Laxantien und Antihistaminika verabreicht [305,327,464,509,556,561,656,688,689,692,694]. Besteht der Verdacht auf einen erhöhten Liquordruck, dann kann zusätzlich Acetazolamid gegeben werden [695].…”

Section: Gefäßerkrankungenunclassified

Rhino-Neurochirurgie

Hosemann

Schroeder

2015

Laryngo-Rhino-Otol

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“…The defect is covered in a multilayer technique, if required, applying e.g. the nasoseptal flap [ 312 ], [ 329 ], [ 640 ], [ 641 ], [ 642 ].…”

Section: Surgical Outcome After Typical Interventions Quality Of Lmentioning

confidence: 99%

“…Drinking with straw leads to a negative pressure in the nasopharynx and should be avoided as well. Sometimes laxatives and antihistamines are applied [ 280 ], [ 303 ], [ 446 ], [ 491 ], [ 538 ], [ 543 ], [ 640 ], [ 672 ], [ 673 ], [ 676 ], [ 678 ]. If an increases CSF pressure is suspected, additionally acetazolamide can be applied [ 679 ].…”

Section: Particularities Of the Perioperative Patient Managementmentioning

confidence: 99%

Comprehensive review on rhino-neurosurgery

Hosemann

Schroeder

2015

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 14:Doc01

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“…Different presentations have been described in the literature for spontaneous onset transethmoidal cephaloceles in the adult population such as CSF leaks, meningitis, seizures, and nasal mass [ 7 – 16 ]. Many endoscopic transnasal techniques for reconstruction of the skull base defect were described and all are presented as safe techniques [ 12 , 17 – 28 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Transethmoidal Meningoceles in Adults: Case Series with Emphasis on Surgical Management

Ziade

Hamdan

Homsi

et al. 2016

The Scientific World Journal

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Background. Spontaneous onset transethmoidal meningocele is a rare entity among the adult population. Methods. A retrospective chart review was performed and cases of adults diagnosed with spontaneous transethmoidal meningoceles from November 2000 till February 2014 were reported. Data collected included demographics, clinical presentation, diagnostic modalities, and results. Intraoperative findings, the type of surgical reconstruction performed, and the percentage of recurrence, if present, were also reported. Results. Ten cases of spontaneous transethmoidal meningoceles in adults were diagnosed. Eight were females and two males with a mean age of 47.5 years. All patients presented with CSF leakage with or without meningitis. They underwent a reconstruction of the base of skull defect using the temporalis fascia graft in addition to fibrin glue (Tissucol) and Surgicel (Ethicon). In two cases with a larger defect, a piece of septal bone and turbinate mucosa were applied achieving a watertight seal in all cases. Conclusion. Spontaneous transethmoidal meningocele in adults is a rare condition. It usually presents with clear rhinorrhea with or without meningitis and an endoscopic multilayer reconstruction is advocated for treatment of such conditions.

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Gigant Transethmoidal Meningoencephalocele Operated by Full Endonasal Endoscopic Approach: Case Report

Cited by 5 publications

References 16 publications

Rhino-Neurochirurgie

Rhino-Neurochirurgie

Comprehensive review on rhino-neurosurgery

Spontaneous Transethmoidal Meningoceles in Adults: Case Series with Emphasis on Surgical Management

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