Iatrogenic meningoencephalocele after traumatic perforation of the cribriform plate during nasal intubation of a preterm infant. (March 2019)

• Record Type: Journal Article
• Authors: Renaud, M.; Fath, L.; Cheptou, M.; Dillenseger, L.; Riehm, S.; Venkatasamy, A.; Debry, C.; Djennaoui, I.
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 118(2019:Mar.)
• Page Start: 120
• Page End: 123
• Publication Date: 2019-03
• Subjects: Nasotracheal intubation -- Iatrogenic meningoencephalocele -- Brain injury -- Preterm infant -- Endoscopic endonasal surgery; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2018.12.016
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Traumatic iatrogenic meningoencephaloceles infants are rare and there is no consensus on management in the literature. This article presents a case of a meningoencephalocele diagnosed 15 months after a traumatic perforation of the cribriform plate due to a difficult intubation of a preterm infant that was treated by an endoscopic endonasal surgery. A close collaboration between pediatricians and ENT surgeons appears essential for early diagnosis and management. Endoscopic endonasal approach for meningoencephalocele management has several advantages and is a safe procedure when performed by an experienced surgeon.