Combined Approach for Giant Temporal Meningoencephalocele
Introduction:To present a complex case of giant meningoencephalocele after a canal wall down mastoidectomy and describe our preferred approach to repair meningoencephalic herniation of the temporal bone.Case Report:A 20-year-old patient, who had previously undergone type III tympanoplasty with total...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2023-01-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | https://ijorl.mums.ac.ir/article_21625_7cacfd50d615f0067672a8b9f7e4b0c4.pdf |
| _version_ | 1797846193561141248 |
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| author | Claudio Carnevale Miguel Garcia-Wagner Carolina Morales-Olavarría Pedro Sarría-Echegaray Guillermo Til-Pérez |
| author_facet | Claudio Carnevale Miguel Garcia-Wagner Carolina Morales-Olavarría Pedro Sarría-Echegaray Guillermo Til-Pérez |
| author_sort | Claudio Carnevale |
| collection | DOAJ |
| description | Introduction:To present a complex case of giant meningoencephalocele after a canal wall down mastoidectomy and describe our preferred approach to repair meningoencephalic herniation of the temporal bone.Case Report:A 20-year-old patient, who had previously undergone type III tympanoplasty with total ossicular reconstruction prosthesis for an attic cholesteatoma, presents with clinical and imaging features compatible with the diagnosis of a giant temporal meningoencephalocele. We performed a combined approach –transmastoid plus minicraniotomy- to repair the skull base defect. A multilayer reconstruction of the defect with septal cartilage and temporal fascia was performed. After a 48 months follow-up, the patient remains symptom free without signs of tissue herniation.Conclusions:Transmastoid plus minicraniotomy combined approach is a safe and feasible technique in case of large and anterior skull base defects with low surgical morbidity, allowing a safe and multilayered reconstruction, even in the context of a simultaneous active chronic otitis media. |
| first_indexed | 2024-04-09T17:52:04Z |
| format | Article |
| id | doaj.art-fbc538ed1c544f2b9ff37556b8fbcbd1 |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-04-09T17:52:04Z |
| publishDate | 2023-01-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-fbc538ed1c544f2b9ff37556b8fbcbd12023-04-16T05:26:31ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2023-01-01351576010.22038/ijorl.2022.66306.326621625Combined Approach for Giant Temporal MeningoencephaloceleClaudio Carnevale0Miguel Garcia-Wagner1Carolina Morales-Olavarría2Pedro Sarría-Echegaray3Guillermo Til-Pérez4Department of ENT and Head and Neck, Hospital University Son Espases, Palma de Mallorca, Spain and Department of ENT and Head and Neck, Rotger Clinic, Palma de Mallorca, Spain.Department of ENT and Head and Neck, Hospital University Son Espases, Palma de Mallorca, Spain.Department of ENT and Head and Neck, Hospital University Son Espases, Palma de Mallorca, Spain.Department of ENT and Head and Neck, Hospital University Son Espases, Palma de Mallorca, Spain and Department of ENT and Head and Neck, Rotger Clinic, Palma de Mallorca, Spain.Department of ENT and Head and Neck, Hospital University Son Espases, Palma de Mallorca, Spain and Department of ENT and Head and Neck, Rotger Clinic, Palma de Mallorca, Spain.Introduction:To present a complex case of giant meningoencephalocele after a canal wall down mastoidectomy and describe our preferred approach to repair meningoencephalic herniation of the temporal bone.Case Report:A 20-year-old patient, who had previously undergone type III tympanoplasty with total ossicular reconstruction prosthesis for an attic cholesteatoma, presents with clinical and imaging features compatible with the diagnosis of a giant temporal meningoencephalocele. We performed a combined approach –transmastoid plus minicraniotomy- to repair the skull base defect. A multilayer reconstruction of the defect with septal cartilage and temporal fascia was performed. After a 48 months follow-up, the patient remains symptom free without signs of tissue herniation.Conclusions:Transmastoid plus minicraniotomy combined approach is a safe and feasible technique in case of large and anterior skull base defects with low surgical morbidity, allowing a safe and multilayered reconstruction, even in the context of a simultaneous active chronic otitis media.https://ijorl.mums.ac.ir/article_21625_7cacfd50d615f0067672a8b9f7e4b0c4.pdfacquired encephalocelecholesteatomamiddle eartemporal boneskull base |
| spellingShingle | Claudio Carnevale Miguel Garcia-Wagner Carolina Morales-Olavarría Pedro Sarría-Echegaray Guillermo Til-Pérez Combined Approach for Giant Temporal Meningoencephalocele Iranian Journal of Otorhinolaryngology acquired encephalocele cholesteatoma middle ear temporal bone skull base |
| title | Combined Approach for Giant Temporal Meningoencephalocele |
| title_full | Combined Approach for Giant Temporal Meningoencephalocele |
| title_fullStr | Combined Approach for Giant Temporal Meningoencephalocele |
| title_full_unstemmed | Combined Approach for Giant Temporal Meningoencephalocele |
| title_short | Combined Approach for Giant Temporal Meningoencephalocele |
| title_sort | combined approach for giant temporal meningoencephalocele |
| topic | acquired encephalocele cholesteatoma middle ear temporal bone skull base |
| url | https://ijorl.mums.ac.ir/article_21625_7cacfd50d615f0067672a8b9f7e4b0c4.pdf |
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