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Published on: February 29, 2020
Single Layer Biomaterial Repair of Frontal Sinus Encephalocele in a Pediatric Patient
Brooke M Su-Velez1, David W Hsu2, Alisha N West1
1Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California Los Angeles (UCLA), Los Angeles, California, U.S.A.
Introduction:
Reconstruction of skull base defects are determined by size, location, and complexity of the defect.
Methods:
Case report.
Case Discussion:
An 11-year old girl presented with a right frontoethmoidal encephalocele after an episode of meningitis. An endoscopic approach was performed with a Draf III to provide exposure. The skull base defect extended superolateral over the orbit, which limited the choice of reconstructive options. The defect was successfully repaired with a single layer onlay graft of bovine collagen matrix.
Conclusions:
Single layer repairs using commercial biomaterials should be considered where multilayer closure or vascularized flaps may not be possible. Laryngoscope, 131:E1750-E1752, 2021.
