title: Frontoethmoidal meningoencephalocoele repair in Cambodia: outcomes and cost comparisons.
abstract: In Cambodia, spina bifida is rare, but frontoethmoidal meningoencephalocoeles (MECs) are common. Mean life expectancy for patients with congenital MECs may be <20 years, but the complex treatment required has not been available in the country until recently. During visits by combined neurosurgical/craniofacial teams from both Germany and France, a method of repair has been developed that is suitable for the local conditions, affordable and has allowed Cambodian surgeons to learn how to successfully treat MECs. The surgical technique and initial results with 30 patients have been described in a previous publication. This paper presents the outcomes of 128 cases and illustrates that it is cost-effective for these patients to be treated in Cambodia.
authors.affiliation: Children's Surgical Centre, Kien Khleang, Chroy Changvar, Phnom Penh, Cambodia. jim@csc.org
authors.forename: J
authors.initials: J
authors.lastname: Gollogly
authors.forename: N
authors.initials: N
authors.lastname: Oucheng
authors.forename: G
authors.initials: G
authors.lastname: Lauer
authors.forename: T
authors.initials: T
authors.lastname: Pinzer
authors.forename: F
authors.initials: F
authors.lastname: Lauwers
authors.forename: F E
authors.initials: FE
authors.lastname: Roux
authors.forename: W
authors.initials: W
authors.lastname: Singleton
authors.forename: S
authors.initials: S
authors.lastname: Douglas
mesh_terms: D000293:Adolescent; D002160:Cambodia / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D004677:Encephalocele / Q000175:diagnosis / Q000191:economics / Q000601:surgery; D005004:Ethmoid Bone / Q000601:surgery*; D005260:Female; D005624:Frontal Bone / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008588:Meningocele / Q000175:diagnosis / Q000191:economics / Q000601:surgery; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology; D016896:Treatment Outcome