Manahel A. Almulhem, A. Al Khatib, G. Al Azzeh, Ali Al Momen
Department of ENT, King Fahad Specialist Hospital, Dammam, MOH, Saudi Arabia
Treatment for congenital nasal meningoencephaloceles is challenging. Nowadays, surgical intervention is more feasible that is achieved by endoscopic endonasal approach.
A 2 months old infant was referred for evaluation of left side nasal obstruction since birth.
Radiographs demonstrated a large defect in the anterior portion of the left cribriform plate. An endoscopic excision of left nasal meningoencephalocele with reconstruction of skull base defect were performed.
In pediatric age, endonasal endoscopic approach is effectively feasible in repairing congenital anterior skull base defects. This technique has multiple advantages such as minimal morbidity, shorter recovery hospital stay and avoidance of facial growth abnormalities.
Keywords: Nasal obstruction, Nasal meningoencephalocele