Inadvertent intracranial insertion of a soft rubber tube in a patient with Treacher-Collins syndrome: case report and review of literature

Muzumdar, Dattatraya; Ventureyra, Enrique C. G.

doi:10.1007/s00381-007-0554-8

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…In general, patients who have facial trauma, nasal injury, or abnormal nasal anatomy that precludes nasal access are candidates for oroenteric tubes (4). There have been published data that indicate that patients with nasal airway intubation have more episodes of sinusitis than patients with oral airway intubation (5).…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

et al. 2011

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Section: Introductionmentioning

confidence: 99%

Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

et al. 2011

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“…10 However, anterior skull base defects in patients with BCA and congenital anomalies have been reported that increase the risk of surgical repair. 9 15 CHARGE syndrome can include craniofacial abnormalities that can increase the risk of skull base injury. One CHARGE patient in this series had an absent crista galli and membranous nasal roof without encephalocele.…”

Section: Discussionmentioning

confidence: 99%

“…Although rare, skull base injury both and immediately following CA repair has been described. [8][9][10] Recent studies have shown an increase in clival abnormalities including clival clefts and clival shortening in CHARGE patients. 11,12 Additionally, BCA has been associated with skull base defects including dehiscence, nasal dermoids, and encephaloceles.…”

Section: Introductionmentioning

confidence: 99%

Skull Base Anatomy in Patients with Bilateral Choanal Atresia: A Radiographic Study

Pool

Slonimsky

Nayak

et al. 2021

J Neurol Surg B Skull Base

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Background The risk of skull base injury during choanal atresia repair can be mitigated via thorough understanding of skull base anatomy. There is a paucity of data describing differences in skull base anatomy between patients with coloboma, heart defects, atresia choanae, growth retardation, genital abnormalities, and ear abnormalities (CHARGE) syndrome and those without. Objectives The aim of this study was to measure nasal and skull base anatomy in patients with isolated bilateral choanal atresia (BCA), CHARGE syndrome, and other syndromic congenital anomalies. Methods Retrospective chart review of patients with bilateral choanal atresia and computed tomography of the face between 2001 and 2019 were evaluated. Choanal width, height, mid-nasal height, and skull base slope were measured radiographically. Differences in anatomy between healthy patients, those with CHARGE syndrome, and those with other congenital anomalies were compared. Results Twenty-one patients with BCA and relevant imaging were identified: 7 with isolated BCA, 6 with CHARGE syndrome, and 8 with other congenital anomalies. A t-test indicated insignificant difference in skull base slope, choanal height, choanal width, or mid-nasal skull base height between isolate BCA cases and patients with any congenital anomaly. When comparing CHARGE to isolated BCA cases, mid-nasal height was shorter in CHARGE patients (p = 0.03). There were no differences in measurements between patients with congenital anomalies excluding CHARGE (p > 0.05). Two patients in the congenital anomaly group were found to have bony skull base defects preoperatively. Conclusion This study represents the largest description of skull base and nasal anatomy in patients with CHARGE syndrome and BCA. Surgeons should be aware of the lower skull base in CHARGE patients to avoid inadvertent skull base injury.

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“…They often have abnormal skull bases, with defects into the cranial cavity and intracranial injury following surgery has been reported [32,33]. They often have abnormal skull bases, with defects into the cranial cavity and intracranial injury following surgery has been reported [32,33].…”

Section: Craniofacial Abnormalitiesmentioning

confidence: 99%

Choanal Atresia

Ramsden¹

2011

CPR

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Congenital narrowing of the nasal airway at the posterior choanae is an uncommon condition in pediatric patients, which can be uni-or bilateral. The presentation of bilateral choanal atresia is a neonatal airway emergency, requiring prompt treatment. The repair of unilateral choanal atresia is often an elective surgical procedure of early childhood, for which a variety of techniques have been described.Choanal atresia occurs as an isolated abnormality, or as part of a syndrome, most commonly CHARGE syndrome. Choanal atresia, and associated abnormalities such as abnormal semicircular canals and cranial nerve abnormalities, are integral part of the diagnosis of CHARGE syndrome. There is increasing understanding of the biology of choanal atresia, and aetiological risk factors are starting to become apparent. This review will discuss the diagnosis, aetiology, and surgical treatment of choanal atresia.

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Inadvertent intracranial insertion of a soft rubber tube in a patient with Treacher-Collins syndrome: case report and review of literature

Abstract: The potential implications of an inadvertent foreign body penetration into the intracranial compartment in such a rare event are discussed and the relevant literature is briefly reviewed.

Cited by 9 publications

References 17 publications

Skull Base Anatomy in Patients with Bilateral Choanal Atresia: A Radiographic Study

Choanal Atresia

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