The surgical correction of fronto-ethmoidal meningo-encephaloceles.

Abstract

One-stage correction of fronto-ethmoidal meningo-encephaloceles and related stigmata, via an orbito-cranial approach, is recommended. A bifrontal craniotomy is only required when simultaneous correction of hypertelorism is to be undertaken. A combined intra- and extracranial approach is essential. The possibility of a high relapse rate for repaired fronto-ethmoidal meningo-encephaloceles, together with the possibility of prolonged postsurgical cerebrospinal fluid leakage, meningitis and other complications is invited when either a transcranial bifrontal craniotomy surgical approach, or an extracranial approach via the facial lesion, is undertaken alone. Modification of existing craniofacial surgical approaches in order to avoid a frontal craniotomy, allowed for good repair of the encephalocele together with significant benefits in terms of simplification of the surgical procedure, operating time, blood loss, frontal lobe retraction and complications.

• Authors: G E Lello, O C Sparrow, R Gopal
• Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery (J Craniomaxillofac Surg) Vol. 17 Issue 7 Pg. 293-8 (Oct 1989) ISSN: 1010-5182 [Print] Scotland
• PMID: 2808707 (Publication Type: Journal Article)

Topics

• Bone Transplantation
• Child, Preschool
• Craniotomy (methods)
• Encephalocele (surgery)
• Ethmoid Bone (surgery)
• Follow-Up Studies
• Frontal Bone (surgery)
• Humans
• Infant
• Meningocele (surgery)
• Nose (surgery)
• Orbit (surgery)
• Osteotomy (methods)
• Postoperative Complications
• Recurrence