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Αλέξανδρος Γ. Σφακιανάκης

Wednesday, September 15, 2021

Surgical Technique and Review of Management of Frontoethmoidal Encephalocoele - A Case Report

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Ann Maxillofac Surg. 2021 Jan-Jun;11(1):132-135. doi: 10.4103/ams.ams_274_20. Epub 2021 Jul 24.

ABSTRACT

THE RATIONALE: Encephalocoele is a herniation of the brain formed during embryonic development, because of the incomplete closure of Neural Tube. It is a rare skull defect and most cases are located in the occipital bone. Frontal encephalocoeles are very rare and they may involve the ethmoid bone, nasal bones and/or the orbits. Surgical repair is complex and usually requires a multidisciplinary approach.

PATIENT CONCERNS: We present a case of a 6-month-old baby girl with a congenital frontoethmoidal encephalocoele.

DIAGNOSIS: The diagnosis was made by computed tomography scan that showed a defect on the frontoethmoidal zone.

TREATMENT: Cranial approach was employed using standard bicoronal access. The malformation was removed and the defect was repaired by using an autologous parietal bone graft, without any complication in the follow-up.

OUTCOMES AND TAKE-AWAY LESSONS: The goal of the surgery is to reconstruct the normal anatomy, to achieve a good cosmetic repair, and to avoid a cerebrospinal fluid leak. A description of the case and the surgical technique is presented with a review of literature.

PMID:34522668 | PMC:PMC8407643 | DOI:10.4103/ams.ams_274_20

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