Nasal Encephalocele

Encephalocele: Congenital nasal encephaloceles are complex problems that are best treated by the combined efforts of a neurosurgeon and a plastic surgeon. An encephalocele is the herniation of the brain through a congenital or traumatic opening in the cranium. Alterations and distortions of the surrounding facial structures, such as deformities of the naso-orbital skeleton due to an absence or separation of bone in the midline of the face, are complications of encephaloceles due to their position and size. Comprehensive treatment includes resecting the encephalocele, repairing the fibrous covering of the brain, repairing any bony defects, and reconstructing a more normal soft tissue facial appearance. With recent advances in diagnostic and surgical techniques, it is possible to perform a thorough preoperative evaluation and to treat the lesion with definitive one-stage reconstruction at the time of excision.

Preoperative

Nasal Encephalocele
Nasal Encephalocele

Postoperative

Nasal Encephalocele
Nasal Encephalocele

Nasal Encephalocele - Definitive One Stage Construction

One week old infant born with large Nasal Encephalocele

Nasal Encephalocele

Postoperative result at eight months

Postoperative result at five years after definitive one stage construction

Nasofrontal Encephalocele Bone Defect

Nasal Encephalocele

Nasal Encephaloceles, by Dr. Larry A. Sargent

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