[Resection of child meningoencephaloceles by transnasal endoscopy].
OBJECTIVE
To discuss the diagnosis of child meningoencephaloceles in nasal cavity and its methods of transnasal endoscopic surgery.


METHODS
Two cases of congenital meningoencephalocele which have manifested mass in nasal cavity or nasopharynx received total resection by transnasal endoscopic surgery. Their medical records, radiographic imagings, and surgical procedures were reviewed.


RESULTS
We identified 2 patients with endonasal meningoencephaloceles whose main symptoms were watery rhinorrhea,nasal obstruction and mass in nasal cavity. A high index of suspicion for this diagnosis must be maintained, especially in patients with reiterative high fever or meningitis. Imaging examination should be done in those patients. Endonasal meningoencephaloceles, wherever the bone defects were located on the ethmoid roof or skull base,can be remove by endoscopy.


CONCLUSIONS
CT and MRI are significant in diagnosis of endonasal meningoencephaloceles, nasal endoscopic surgery could be considered to be the best surgical approach without any severe complications.
Cao
Rongping
R
Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200092, China. caorongping@163.com
Wu
Hao
H
Wang
Zhentao
Z
Yang
Jun
J
Wang
Zhaoyan
Z
Ma
Xiaowen
X
D002675:Child, Preschool; D004677:Encephalocele / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009296:Nasal Cavity / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*