Nogueira Joao Flavio, Stamm Aldo Cassol, Vellutini Eduardo, Santos Fabio Pires
São Paulo ENT Center - Hospital Professor Edmundo Vasconcels, Brazil.
Int J Pediatr Otorhinolaryngol. 2009 Jan;73(1):133-7. doi: 10.1016/j.ijporl.2008.09.013. Epub 2008 Dec 2.
The objective of this paper is to present a case of a 2-year-old girl diagnosed with a meningo-encephalocele after episodes of meningitis, and treated with a transnasal endoscopic approach using nasal septal flaps pediculated at the sphenopalatine artery. Endoscopic repair is a viable and minimally invasive alternative to traditional craniotomy, however technical difficulties encountered as well as questions that remain unanswered are discussed.