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A Le Fort I osteotomy approach to lateral sphenoid sinus encephalocoeles

  • J. M. Reynolds (a1), A. Tomkinson (a1), R. G. Grigg (a1) and C. F. Perry (a1)

Abstract

Meningo-encephalocoeles of the skull base may present as spontaneous cerebrospinal fluid rhinorrhoea or acute meningitis. Previous approaches to midline skull base lesions have been either intracranial, via a craniotomy, or by transfacial or endoscopic extracranial approaches. This paper presents an alternative approach to lateral sphenoid sinus encephalocoeles through a Le Fort I osteotomy approach.

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Corresponding author

Address for correspondence: J. M. Reynolds, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, Queensland, Australia4102. Fax: (07) 32407011

References

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Clyde, B. L., Stechison, M. T. (1995) Repair of temporosphenoidal encephalocoele with a vascularized split calvarial cranioplasty: technical case report. Neurosurgery 36: 202206.
Horky, J. K., Chaloupka, J. C., Putman, C. M., Roth, T. C. (1997) Occult spontaneous lateral temporal meningoencephalocoele: MR findings of a rare developmental anomaly. American Journal of Neuroradiology 18: 744746.
Lanza, D. C., O'Brien, D. A., Kennedy, D. W. (1996) Endoscopic repair of cerebrospinal fluid fistulae and encephaloceles. Laryngoscope 106: 11191125.
Schick, B., Draf, W., Kanle, G., Weber, R., Wallenfang, T. (1997) Occult malformations of the skull base. Archives of Otolaryngology and Head and Neck Surgery 123: 7780.
Utley, D., Moore, A., Archer, D. J. (1989) Surgical management of midline skull base tumours: a newapproach. Journal of Neurosurgery 71: 705710.

Keywords

A Le Fort I osteotomy approach to lateral sphenoid sinus encephalocoeles

  • J. M. Reynolds (a1), A. Tomkinson (a1), R. G. Grigg (a1) and C. F. Perry (a1)

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