Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 77-81.doi: 10.6040/j.issn.1673-3770.0.2020.188

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Diagnosis and nasal endoscopic surgery of congenital basal meningoencephaloceles in infants

CHEN Kun, LI Lei, MENG Guozhen, YANG Jun, HOU Dongming   

  1. Department of Otolaryngology & Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
  • Published:2021-02-01

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Abstract: Objective The aim of this study is to investigate the diagnosis of congenital basal meningoencephalocele in infants and the safety and effectiveness of nasal endoscopic surgery. Method A retrospective analysis of the clinical data of 8 cases of congenital basal meningoencephalocele in infants admitted at the Xinhua Hospital affiliated with Shanghai Jiaotong University School of Medicine between April 2014 and December 2019 was conducted. Preoperative sinus CT and MRI examinations were performed, and all cases underwent endoscopic meningoencephalocele resection and skull base reconstruction. Results Six patients presented with transethmoidal meningoencephalocele and 2 transsphenoidal meningoencephaloceles. The operation was successful at one time without complications. There were no recurrences after 6~74 months of follow-up. Conclusion For infants with persistent nasal obstruction and nasal overflow with neoplasms in the nasal cavity or nasopharynx, the possibility of congenital basal meningoencephalocele should be considered. Sinus CT and MRI examinations have important diagnostic significance. Nasal endoscopic resection of the bulge and reconstruction of the skull base is a safe and effective operation and has a good clinical effect.

Key words: Congenital meningoencephalocele, Infant, Nasal endoscopic surgery, Skull defect, Skull base repair

CLC Number: 

  • R714
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