[Treatment of endonasal-encephalomeningocele by transnasal endoscopic surgery].
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.
Xu
Geng
G
Department of Otorhinolaryngology, Third Affiliated Hospital of Zhongshan University, Guangzhou 510630, China. entxgfess@163.net
Li
Yuan
Y
Xie
Min-qiang
MQ
Wen
Wei-ping
WP
Shi
Jian-bo
JB
Chen
He-xin
HX
Qi
Jian-wei
JW
Zhou
Jia-xuan
JX
Zhang
Xu-wen
XW
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