title: [Treatment of endonasal-encephalomeningocele by transnasal endoscopic surgery].
abstract: OBJECTIVE
  To inquire into the feasibility of transnasal endoscopic surgery for endonasal encephalomeningocele, and to put forward the basic management guidelines.
  
  
  METHODS
  Five cases of endonasal encephalomeningocele were managed by transnasal endoscopic surgery. Different surgical techniques were applied according to the size and shape of skull base defect. At the same time, one-stage repair of skull base defect was achieved by applying muscle, fascia, cartilage and bone.
  
  
  RESULTS
  All 5 patients were successfully treated without complication and relapse during 1-5 year follow-up.
  
  
  CONCLUSIONS
  Endonasal type encephalomeningocele can be managed by transnasal endoscopic surgery. If the skull base defect is less than 0.5 cm, it can be repaired by packing muscle and fascia. If the defect is larger than 0.5 cm, the cartilage or bone should be used to repair the skull base.
authors.affiliation: Department of Otorhinolaryngology, Third Affiliated Hospital of Zhongshan University, Guangzhou 510630, China. entxgfess@163.net
authors.forename: Geng
authors.initials: G
authors.lastname: Xu
authors.forename: Yuan
authors.initials: Y
authors.lastname: Li
authors.forename: Min-qiang
authors.initials: MQ
authors.lastname: Xie
authors.forename: Wei-ping
authors.initials: WP
authors.lastname: Wen
authors.forename: Jian-bo
authors.initials: JB
authors.lastname: Shi
authors.forename: He-xin
authors.initials: HX
authors.lastname: Chen
authors.forename: Jian-wei
authors.initials: JW
authors.lastname: Qi
authors.forename: Jia-xuan
authors.initials: JX
authors.lastname: Zhou
authors.forename: Xu-wen
authors.initials: XW
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008588:Meningocele / Q000601:surgery*; D009668:Nose Diseases / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D019291:Skull Base / Q000601:surgery