Single Layer Biomaterial Repair of Frontal Sinus Encephalocele in a Pediatric Patient

Brooke M Su-Velez; David W Hsu; Alisha N West; Jeffrey D Suh

doi:10.1002/lary.29198

Single Layer Biomaterial Repair of Frontal Sinus Encephalocele in a Pediatric Patient

Laryngoscope. 2021 Jun;131(6):E1750-E1752. doi: 10.1002/lary.29198. Epub 2020 Oct 27.

Authors

Brooke M Su-Velez¹, David W Hsu², Alisha N West¹, Jeffrey D Suh¹

Affiliations

¹ Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California Los Angeles (UCLA), Los Angeles, California, U.S.A.
² Head and Neck Surgery Department, Kaiser Permanente Riverside Medical Center, Riverside, California, U.S.A.

PMID: 33107603
DOI: 10.1002/lary.29198

Abstract

Introduction: Reconstruction of skull base defects are determined by size, location, and complexity of the defect.

Methods: Case report.

Case discussion: An 11-year old girl presented with a right frontoethmoidal encephalocele after an episode of meningitis. An endoscopic approach was performed with a Draf III to provide exposure. The skull base defect extended superolateral over the orbit, which limited the choice of reconstructive options. The defect was successfully repaired with a single layer onlay graft of bovine collagen matrix.

Conclusions: Single layer repairs using commercial biomaterials should be considered where multilayer closure or vascularized flaps may not be possible. Laryngoscope, 131:E1750-E1752, 2021.

Keywords: Biocompatible materials; endoscopic approach; pediatric otolaryngology; rhinology; skull base.

Publication types

Case Reports

MeSH terms

Bone Matrix / transplantation*
Bone Transplantation / methods*
Child
Encephalocele / microbiology
Encephalocele / surgery*
Female
Frontal Sinus / surgery*
Humans
Meningitis / complications
Skull Base / surgery*