title: Endoscopic surgery for congenital basal meningoencephaloceles in children.
abstract: Conclusions Endoscopic surgery is safe and effective for children with congenital basal meningoencephaloceles (CBMs); it provides an acceptable operative outcome with a short recovery time and fewer complications and may be considered as a primary approach. Objectives To explore the safety and effectiveness of using transnasal or transoral endoscopic surgery on children with CBMs. Methods The clinical data of eight CBMs children who underwent transnasal or transoral endoscopic surgery in a hospital from January 2011 to January 2015 were collected. The presenting symptoms, lesion locations, surgical outcomes, and complications were examined retrospectively. Results Of the eight children, five (62.5%) patients were male, and their ages ranged from 1 year and 6 months to 14 years (median of 9 years). Six patients presented with the transethmoidal sub-type, and two presented with the transsphenoidal sub-type. The average hospital stay of all patients was 8.6 ± 2.6 days. There were neither intra-operative nor post-operative complications observed in any of the cases during the follow-ups that occurred between 6-54 months (mean of 15.5 months).
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Xuewen
authors: X
authors: Wu
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Junyi
authors: J
authors: Zhang
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Hua
authors: H
authors: Zhang
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Zhihai
authors: Z
authors: Xie
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Ruohao
authors: R
authors: Fan
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Yong
authors: Y
authors: Liu
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Bei
authors: B
authors: Wu
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Hong
authors: H
authors: Sun
authors: a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
authors: Weihong
authors: W
authors: Jiang
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004677:Encephalocele / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D019291:Skull Base / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Endoscopic surgery; cerebrospinal fluid leakage; children; congenital basal meningoencephaloceles; skull base reconstruction