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

Su-Velez, Brooke M; Hsu, David W; West, Alisha N; Suh, Jeffrey D · Laryngoscope · 2021

case_report · Level V

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Abstract

Reconstruction of skull base defects are determined by size, location, and complexity of the defect. Case report. 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. Single layer repairs using commercial biomaterials should be considered where multilayer closure or vascularized flaps may not be possible. Laryngoscope, 131:E1750-E1752, 2021.

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