Endoscopic Endonasal Transethmoidal Approach for the Management of a Traumatic Brain Abscess and Reconstruction of the Accompanying Anterior Skull Base Defect

The Journal of Craniofacial Surgery
Necmettin TanrioverNurperi Gazioglu

Abstract

Skull base endoscopy in the treatment of brain abscesses has been rarely published. Moreover, endoscopic endonasal transethmoidal approach (EETA) for the treatment of brain abscess following a head trauma has been reported only in a few case reports. We report the management of a patient of intracerebral abscess and reconstruction of the accompanying anterior skull base defect through an EETA.Thirty-year-old male with a frontal lobe abscess due to a penetrating skull base trauma was operated via EETA. After drainage of the abscess, dural and bony defects were repaired to prevent any recurrence. Postoperative radiological imaging revealed prominent decrease in abscess size. The patient did not need any further surgical intervention, and antibiotherapy was adequate.EETA is safe and effective in the management of brain abscesses. Skull base endoscopy provides direct visualization of the abscess cavity through a minimal invasive route, facilitates wide exposure of surrounding neurovascular structures within the operative field, and enables concurrent closure of the skull base defect.

References

Nov 14, 1997·Minimally Invasive Neurosurgery : MIN·M Fritsch, K H Manwaring
Jan 1, 1997·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·S KamikawaN Tamaki
May 31, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·P LongattiV Baratto
Oct 24, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Cheng-Hsien LuChen-Chung Lui
Mar 4, 2008·Neurology India·Yad Ram YadavVijay Parihar
Nov 23, 2010·International Journal of Surgery·Dattatraya MuzumdarA Goel
Mar 2, 2011·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Vincent PatronKarine Aubry

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Brain Abscess

Brain abscess is an accumulation of pus caused by inflammation and infected materials in the brain. Symptoms include fever, headache, seizures and other neurological problems. Discover the latest research on brain abscess today.

Related Papers

The Israel Medical Association Journal : IMAJ
Ephraim EviatarHaim Gavriel
Skull Base : Official Journal of North American Skull Base Society ... [et Al.]
Vincent PatronKarine Aubry
© 2021 Meta ULC. All rights reserved