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Single-Stage Extracranial Transnasal Repair of Frontoethmoidal Encephalomeningocele Without Coronal Incision
Sarut Chaisrisawadisuk1,2, Kongsawate Khaogate1, Ekawut Chankaew3
1Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
The Journal of Craniofacial Surgery
|June 22, 2026
Summary
This study introduces a new transnasal surgery for frontoethmoidal encephalomeningocele, avoiding traditional incisions. The minimally invasive technique shows promising results for correcting this congenital condition.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Frontoethmoidal encephalomeningocele is a complex congenital condition requiring surgical repair.
- Traditional surgical approaches often involve extensive incisions and may be associated with significant morbidity.
Purpose of the Study:
- To present a novel, single-stage extracranial transnasal approach for frontoethmoidal encephalomeningocele repair.
- To evaluate the efficacy and outcomes of this minimally invasive technique in a pediatric patient.
Main Methods:
- A single-stage extracranial transnasal approach was utilized, involving an inverted-Y nasal incision.
- The procedure included herniated tissue excision, duraplasty, medial orbital osteotomies, cranial base reconstruction, nasal dorsum reconstruction, and flap closure.
Main Results:
- The surgical repair was successfully completed in a 1-year-old girl without the need for a coronal incision.
- Postoperative recovery was uneventful, with improved orbital alignment and favorable aesthetic outcomes observed during follow-up.
Conclusions:
- The presented transnasal approach offers a streamlined and effective alternative for frontoethmoidal encephalomeningocele repair.
- This technique is particularly advantageous in resource-limited settings due to its minimally invasive nature and positive outcomes.
