Nasal encephalocele: endoscopic excision with anesthetic consideration.
OBJECTIVE
Nasal encephalocele may presents as a nasal mass, its treatment is surgical and it should be done early in life. When removal is indicated, there are multiple surgical approaches; including lateral rhinotomy, a transnasal approach and a coronal flap approach. However, the treatment of a basal intranasal encephalocele using transnasal endoscopic approach could obviates the possible morbidity associated with other approaches. The aim of this study was to evaluate the efficacy of endoscopic removal of intranasal encephalocele, also to document the role of anesthetist in the operative and postoperative periods.


METHODS
Nine cases with nasal encephalocele were included in this study; CT and/or MRI were used in their examination. The lesions were removed via transnasal endoscopic approach. Preoperative evaluation, intervention and postoperative follow-up were presented with discussion of anesthesia used for those children.


RESULTS
The lesions of all patients were removed successfully with no recurrence through the follow-up period of at least 21 months. No cases showed morbidity or mortality intra- or post-operatively.


CONCLUSIONS
Endoscopic excision of intranasal encephalocele is an effective method with high success rate. Anesthetist plays an important role in the operative and postoperative period, even during the endoscopic follow up; sedation of the children is usually needed.
Abdel-Aziz
Mosaad
M
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt. mosabeez@yahoo.com
El-Bosraty
Hussam
H
Qotb
Mohamed
M
El-Hamamsy
Mostafa
M
El-Sonbaty
Mohamed
M
Abdel-Badie
Hazem
H
Zynabdeen
Mustapha
M
D000758:Anesthesia / Q000379:methods*; D000777:Anesthetics / Q000627:therapeutic use; D002675:Child, Preschool; D004677:Encephalocele / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D009296:Nasal Cavity; D009668:Nose Diseases / Q000175:diagnosis / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D011300:Preoperative Care; D012494:Sampling Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000777:Anesthetics