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Updated: Feb 3, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Anterior skull base duplication requiring delivery via EXIT procedure: A case report
Courtney B Shires1, Jonathan P Giurintano1, Jennifer McLevy-Bazzanella1
1University of Tennessee Health Science Center, Department of Otolaryngology - Head and Neck Surgery, 910 Madison Avenue Suite 430, Memphis, TN, 38163, USA.
Abstract:
Duplication of the anterior skull base structures is an extremely rare malformation of failed midline blastogenesis. We present the case of a child with an obstructive oral cavity mass diagnosed on prenatal imaging. The child was successfully delivered by EXIT procedure, a tracheotomy was performed, and postnatal imaging demonstrated an array of craniofacial malformations, including complete duplication of the maxilla, pituitary glands, aqueducts of Sylvius, and basilar arteries. The child underwent excision of the duplicate maxilla, resulting in a wide cleft palate that will be repaired at a future date.
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