| Abstract | 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. |
| Authors | T Van Den Abbeele, M Elmaleh, P Herman, M François, P Narcy
(Affiliation: Department of Pediatric Otolaryngology, Robert Debré Hospital, Paris, France.)
|
| Journal | Archives of otolaryngology--head & neck surgery
(Arch Otolaryngol Head Neck Surg)
Vol. 125
Issue 5
Pg. 580-4
(May 1999)
ISSN: 0886-4470 UNITED STATES |
| PMID | 10326818
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Adolescent
- Cerebrospinal Fluid Rhinorrhea
(surgery)
- Child
- Child, Preschool
- Endoscopy
- Glioma
(surgery)
- Humans
- Infant
- Meningocele
(surgery)
- Neoplasm Recurrence, Local
- Nose Neoplasms
(etiology, surgery)
- Retrospective Studies
- Skull
(abnormalities)
|
