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Endoscopic endonasal approach of congenital meningoencephalocele surgery: first reported case in lithuania
Svajūnas Balseris1, Giedrius Strazdas1, Saulius Ročka2
1Department of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, Lithuania.
Insights
Meningoencephalocele, a rare condition, can be effectively treated in adults using an endoscopic endonasal approach. This minimally invasive technique offers a shorter recovery and fewer complications compared to traditional surgeries.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skull Base Surgery
Background:
- Meningoencephalocele is a rare congenital condition involving brain tissue protrusion through a skull defect.
- Symptoms may manifest in childhood or present in adulthood, often with non-specific signs like headaches or rhinorrhea.
- Surgical intervention is necessary for meningoencephalocele, with various approaches available.
Purpose of the Study:
- To present a case of adult anterior basal transethmoidal meningoencephalocele.
- To evaluate the efficacy and outcomes of the endoscopic endonasal approach for treating this condition.
- To compare the endoscopic endonasal approach with traditional open microsurgical methods.
Main Methods:
- A case study of a 24-year-old patient with chronic symptoms of meningoencephalocele.
- Surgical removal of the meningoencephalocele using an endoscopic endonasal approach.
- Reconstruction of the skull base defect via the same endoscopic route.
Main Results:
- Successful removal of the anterior basal transethmoidal meningoencephalocele.
- The endoscopic endonasal approach resulted in a less invasive procedure.
- The patient experienced a short recovery time and minimal postoperative complications.
Conclusions:
- The endoscopic endonasal approach is a viable and less invasive surgical option for anterior basal transethmoidal meningoencephalocele.
- This technique offers comparable operative outcomes to external microsurgical approaches.
- It is associated with reduced postoperative complications and faster patient recovery.
Abstract:
Meningoencephalocele is a rare condition that usually occurs in children and is treated by neurosurgeons with occasional help from ENT doctors. The symptoms of meningoencephalocele might not develop until adulthood, but usually they are apparent immediately after birth. The case of small anterior basal transethmoidal meningoencephalocele in a 24-year-old patient who had headaches and runny nose since childhood is presented. Endonasal endoscopic approach for meningoencephalocele removal and skull base defect reconstruction was used. It was concluded that endoscopic endonasal approach is less invasive and provides an acceptable operative outcome with short recovery time and less postoperative complications in comparison with other external microsurgical approaches.
