PMID: 16633187Apr 25, 2006Paper

Correction of the frontoethmoidal encephalomeningocele with minimal facial incision: modified Chula technique

The Journal of Craniofacial Surgery
Nond RojvachiranondaChopeow Taecholarn

Abstract

At present all surgical techniques to correct the frontoethmoidal encephalomeningocele require extensive incisions over the mass and perinasal area, thus adding scars to the already-disfigured faces. This study demonstrates a possibility of doing definitive surgery with minimal facial incision. The technique follows the principles of the "Chula technique," which is the one-stage definitive technique without formal frontal craniotomy. However facial incision was kept to minimum, or even avoided, while amputation of the herniation, dural repair, skull defect closure, and repositioning of the medial canthal ligaments were performed mainly via the coronal incision. There were 20 patients operated on using this modified Chula technique. No perinasal incision was needed at all in three patients (15%) with F1 masses (small- and medium-sized masses according to the "FEEM classification"). Three patients with F1 masses had only small stab incisions just medial to the medial canthus for medial canthopexy. The rest (70%) consisting of two F2 (large-sized) masses and twelve F1 masses had limited nasal incisions just to help removing the facial masses and correcting facial deformity. With an average of 287 days of follow-up period (14-997 d...Continue Reading

References

Dec 1, 1991·The Journal of Craniofacial Surgery·C MahatumaratT Charoonsmith
Aug 1, 1972·British Journal of Preventive & Social Medicine·C Suwanwela
Feb 1, 2003·Plastic and Reconstructive Surgery·Charan MahatumaratChopoew Taecholarn
Nov 6, 2003·The Journal of Craniofacial Surgery·Nond RojvachiranondaJosh Cole

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Citations

Jun 20, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Francesca SecciArmando Cama
Feb 3, 2009·Plastic and Reconstructive Surgery·Anand KumarJames P Bradley
Oct 1, 2011·The Journal of Craniofacial Surgery·Chongdee Aojanepong
Dec 3, 2010·Journal of Neurosurgery. Pediatrics·Ngiep OuchengFranck-Emmanuel Roux
Sep 6, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ramazan GunCuneyt Gocmez
Jan 7, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Muhammad ArifinAbdul Hafid Bajamal
Jun 4, 2008·Plastic and Reconstructive Surgery·Charlotte HolmMühlbauer Wolfgang
May 28, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dax Carlo G PascasioBernard U Tansipek
Jan 23, 2018·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Ehtesham Ul HaqRubbab Zahra
Jan 25, 2008·The Journal of Craniofacial Surgery·Ahmad Ridzwan Arshad, T Selvapragasam
Jun 14, 2021·Neurosurgical Review·Wihasto SuryaningtyasMuhammad Arifin Parenrengi

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