Am J Otolaryngol Head Neck Surg | Volume 4, Issue 4 | Research Article | Open Access

The Endonasal Endoscopic Management of Pediatric CSF Leak and Meningoceles

Ali Al Momen*, Ahmed Aldandan, Jamal Alhamam, Hussain Alsheef, Amirah Aldhurais, Balsamalawami, Salma Alhammad, Hussain Almulla, Zahra Almoumen and Fatima Alhassan

Department of ENT, King Fahad Specialist Hospital, Saudi Arabia

*Correspondance to: Ali Al Momen 

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Introduction:The diagnosis and management of skull base defects in pediatrics are challenging. These defects can be con-genital or traumatic. Congenital lesion includes encephalocele which is a herniation of meninges, CSF and brain through a skull defect. The aim of this study is to present our experience with the endonasal endoscopic management of 9 pediatric patients presented with congenital encephalocele and traumatic CSF leakage.

Methods: A  retrospective  study  of  9  pediatric  patients  (age  ranging  from  2-months  to  15-years old) was conducted at our tertiary care center between the years 2010 to 2019. Three patients had congenital encephalocele while four children presented with traumatic CSF leakage. After detailed clinical evaluation and pre-operative imaging with CT and MRI scans, an endonasal endoscopic repair was carried out in all cases.

Results:All patients had a successful repair and recovery, without any post-operative complications. The  follow-up  period  ranges  from  1  to  9  years.  All  nine  patients  remain  asymptomatic  and recurrence-free.

Conclusion:The endonasal endoscopic approach is the preferred method for repairing skull base defects in pediatric patients. Compared to conventional operations, this endoscopic procedure is minimally invasive, efficient, and safe. A multidisciplinary team with experienced endoscopic nasal surgeon is required to perform this surgical procedure.



Al Momen A, Aldandan A, Alhamam J, Alsheef H, Aldhurais A, Balsamalawami, et al. The Endonasal Endoscopic Management of Pediatric CSF Leak and Meningoceles. Am J Otolaryngol Head Neck Surg. 2021; 4(4): 1132..

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