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Updated: Mar 26, 2026
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Endoscopic surgery for congenital basal meningoencephaloceles in children
Xuewen Wu1, Junyi Zhang1, Hua Zhang1
1a Department of Otolaryngology Head and Neck Surgery , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.
Insights
Endoscopic surgery is a safe and effective treatment for children with congenital basal meningoencephaloceles (CBMs). This minimally invasive approach offers good outcomes with faster recovery and fewer complications.
Area of Science:
- Pediatric Neurosurgery
- Minimally Invasive Surgery
- Craniofacial Abnormalities
Background:
- Congenital basal meningoencephaloceles (CBMs) are rare birth defects.
- Surgical intervention is often necessary for CBMs.
- Endoscopic techniques offer potential advantages over traditional open surgery.
Purpose of the Study:
- To evaluate the safety and effectiveness of transnasal or transoral endoscopic surgery for CBMs in pediatric patients.
- To assess operative outcomes, recovery times, and complication rates.
Main Methods:
- Retrospective analysis of clinical data from eight pediatric patients with CBMs.
- Patients underwent transnasal or transoral endoscopic surgery between January 2011 and January 2015.
- Evaluation of presenting symptoms, lesion location, surgical results, and complications.
Main Results:
- Eight pediatric patients (5 male, median age 9 years) were included.
- Six patients had transethmoidal CBMs, and two had transsphenoidal CBMs.
- Average hospital stay was 8.6 days; no intra-operative or post-operative complications were observed during a mean follow-up of 15.5 months.
Conclusions:
- Transnasal or transoral endoscopic surgery is a safe and effective primary approach for pediatric CBMs.
- The procedure yields acceptable outcomes with short recovery and minimal complications.
- Endoscopic surgery represents a viable alternative for treating CBMs 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).
