Endoscopic endonasal management of encephaloceles in children: An eight-year experience

被引：38
作者：
Castelnuovo, Paolo [2 ,3 ]
Bignami, Maurizio [2 ,3 ]
Pistochini, Andrea [2 ,3 ]
Battaglia, Paolo [2 ,3 ]
Locatelli, Davide [4 ]
Dallan, Iacopo [1 ]
机构：
[1] Azienda Osped Univ Pisana, ENT Unit 2, I-56126 Pisa, Italy
[2] Univ Insubria, Azienda Osped Univ Osped Circolo, Dept Otorhinolaryngol, Varese, Italy
[3] Univ Insubria, Fdn Macchi, Dept Otorhinolaryngol, Varese, Italy
[4] Univ Pavia, Policlin San Matteo, Sci Res & Cure Inst, Dept Neurosurg, I-27100 Pavia, Italy
来源：
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2009年 / 73卷 / 08期
关键词：
Encephalocele; Endoscopic management; Paediatric; Skull base plasty; CEREBROSPINAL-FLUID LEAKS; SKULL BASE DEFECTS; INTRATHECAL FLUORESCEIN; PEDIATRIC-PATIENTS; REPAIR; FISTULAS; SURGERY; FLAP;
D O I：
10.1016/j.ijporl.2009.04.023
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objective: Skull base encephaloceles are difficult to diagnose and to treat. Traditionally, they are approached externally via craniotomic routes. Endoscopic management: of skull base defects is the standard treatment in adults. Our aim is to evaluate the efficacy and safety of endoscopic endonasal repair of basal encephaloceles in the paediatric population. Methods: Retrospective evaluation of paediatric encephaloceles managed endoscopically at a tertiary referral centre. Results: Eleven subjects fitted the criteria of the study. Mean age at surgery was 6.7 +/- 4.6 SD years, while mean follow-up was 46.5 +/- 28 SD months. Most of the defects were located in the anterior cranial fossa. All patients were managed successfully with no complications. Conclusions: Endonasal endoscopic management of congenital encephaloceles is feasible in paediatric patients. Meticulous pre-op neuroimaging is of paramount importance when dealing with such cases. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：1132 / 1136
页数：5
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