Evaluation of long-term results following surgical correction of frontoethmoidal encephalomeningocele

Introduction: Frontoethmoidal encephalomeningocele (FEEM) is a neural tube defect with herniation of intra-cranial contents through the anterior skull base at the foramen cecum. Management is surgical and aims to remove the excess meningoencephalocele tissue and perform facial reconstruction.Case presentation: We report on two cases of FEEM that presented to our department. A diagnosis based on computed tomography scans revealed a defect in the nasoethmoidal region (case 1), and a defect was found in the nasofrontal bone (case 2). Surgery was performed using a direct incision over the lesion (case 1) and a bicoronal incision (case 2). Treatment in both cases gave a good outcome, and there was no increase in intra-cranial pressure and neurological deficits. Discussion: The management of FEEM is surgical. Appropriate timing and careful preoperative planning minimize the risks of intraoperative and postoperative complications. Both patients underwent surgery. Different tech-niques were required in each case, considering a significant difference between the lesion size and the resultant craniofacial deformity.Conclusion: Early diagnosis and treatment planning is vital to achieving the best long-term outcome for these patients. In the next stage of patient development, follow-up examination plays a vital role so that further corrective actions can provide a good prognosis.