From: Endoscopic repair of lateral sphenoid Encephaloceles: a case series
Age | Sex | Location | Presenting Symptoms | Repair | Post-op additional Therapy | Outcome | Complications |
---|---|---|---|---|---|---|---|
47 | Female | Right lateral sphenoid | Acute bacterial meningitis, right CSF rhinorrhea | Alloderm and abdominal fat onlay, contralateral nasoseptal flap | Lumbar drain 72 h | Healed sphenoid on endoscopy, no recurrence × 5 years | None |
52 | Female | Right lateral sphenoid | Right CSF rhinorrhea | Alloderm onlay with contralateral nasoseptal flap | None | Recurrent CSF rhinorrhea at 4 weeks post-op requiring revision of nasoseptal flap | None other than recurrence |
48 | Female | Left lateral sphenoid | Left CSF rhinorrhea | Alloderm onlay with left middle turbinate free mucosal graft | Lumbar drain 72 h | Recurrent CSF rhinorrhea and recurrent encephalocele on 6 month MRI, lost to follow up after 1 year | None |
56 | Male | Left lateral sphenoid | Left CSF rhinorrhea | Alloderm inlay, abdominal fat sphenoid obliteration, ipsilateral nasoseptal flap | None | Healed sphenoid on endoscopy, no recurrence × 3 years | None |
64 | Female | Right lateral sphenoid | History of bacterial meningitis with bilateral profound deafness requiring cochlear implants, Right CSF rhinorrhea | Alloderm inlay, abdominal fat sphenoid obliteration, ipsilateral nasoseptal flap | None | Healed sphenoid on endoscopy, no recurrence × 3 years | Right subjective dry eye, normal Ophthamalogic exam, treated with PVA eyedrops |
45 | Female | Right lateral sphenoid | Acute bacterial meningitis, right clear rhinorrhea | Alloderm inlay, abdominal fat sphenoid obliteration, ipsilateral nasoseptal flap | Acetazolamide | Healed sphenoid on endoscopy, no recurrence × 3 years | None |
54 | Female | Right lateral sphenoid | Right CSF rhinorrhea | Alloderm inlay, abdominal fat sphenoid obliteration, ipsilateral nasoseptal flap | None | Healed sphenoid on endoscopy, no recurrence x 2 years | None |