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Nasal encephaloceles: definitive one-stage reconstruction
L A Sargent1, A E Seyfer, E N Gunby
1Department of Plastic Surgery, University of Tennessee Health Science Center, Chattanooga.
Journal of Neurosurgery
|April 1, 1988
Summary
Nasal encephaloceles cause complex naso-orbital deformities. Early surgical correction using a combined approach and bone grafts is recommended for optimal facial contour reconstruction.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Neurosurgery
Background:
- Nasal encephaloceles are congenital herniations of brain tissue through a defect in the cribriform plate.
- These defects can lead to significant cosmetic and functional deformities of the naso-orbital region.
Observation:
- Nasal encephaloceles cause lateral displacement of the medial orbital walls, resulting in abnormal facial structure.
- Two clinical cases illustrating these deformities are presented.
Findings:
- Classification, diagnosis, and treatment strategies for nasal encephaloceles are discussed.
- A combined intracranial and extracranial surgical approach is proposed for reconstruction.
- Mobilization of the nasal skeleton and medial orbital walls, followed by bone grafting for defects, is the suggested method.
Implications:
- Early surgical intervention is crucial for achieving satisfactory aesthetic and functional outcomes in children.
- This approach aims to restore normal facial contour and prevent long-term complications.