INTRANASAL ENCEPHALOCELES: Survey of Problem, with Recommendations for Reducing Mortality

Anterior floor meningoencephaloceles: surgical treatment. Experience based on eleven cases

“…1). 13 call at tention to great many badly succeeded cases, when operated by extracranial pathway. The primary conclusions reached after study of these papers are the following; the extracranial approach provokes MEC free communication with badly infected nasal cavity; the MEC pedicle may rarely be entirely dissected, by the pathway approach, which impairs its closing, causing post-operative fistulae; the MEC remnants that remain when the extracranial approach pathway is used, are sufficient to provoke constant compression over the adjoinir.g bone structures, establishing its abnormal development; the extracranial approach may result in a antiesthetic facial scar.…”

“…Jacob 7 , does not advise the extradural pathway due to difficulty in processing the duramater displacement from the floor of the anterior fossa; Anderson 2 , Walker, Moore and Simpson 13 and Dodge, Love and Kernohan 4 , always operate using the intradural pathway. Nevertheless, Adrianjakovo and Pialoux 1 sustain that the results do not de pend on the intra or extradural pathway.…”

Application of the Skull Base Technique to the Repair of Transsphenoidal Meningoencephaloceles

“…An anterior basal meningoencephalocele is uncom mon; it has been reported to represent between 1 and 10% of all encephaloceles [1][2][3][4][5]. It has been classified into three types: transethmoidal, sphenoethmoidal, and trans sphenoidal, depending on the site of the bone defect [1].…”

TUMORS OF THE NOSE AND THROAT: Summaries of the Bibliographic Material Available in the Field of Otolaryngology from February, 1951, to August, 1953

“…The lesion was removed by rhinotomy. Walker and associates 25 found a total of 34 reported cases of intranasal encephalocele. Nine patients with such lesions had associ¬ ated anomalies and had died.…”

“…Nine patients with such lesions had associ¬ ated anomalies and had died. Of the remain¬ ing 25 patients, 15 died, most of them as the result of meningitis. Of the remaining 10 pa¬ tients, 5 had rhinorrhea; meningitis devel¬ oped in 3 of the latter.…”