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Objective: To study and analyze 40 cases managed endoscopically of meningoencephaloceles and other cranial base defects using septal cartilage. Design: Prospective, interventional case series. Materials and methods: This study was conducted in the Department of Otorhinolaryngology SMS Medical College from 2006 to 2011. The study consisted of evaluations of self-reported and referred patients who presented to ENT OPD and emergency. In all the cases a detailed history and clinical examination was done. All the patients underwent nasal endoscopic examination. Computed tomographic (CT) scans were obtained for all cases. Magnetic resonance imaging (MRI) and CT cisternography was done in some of the cases. Results: Success of the treatment was defined as resolution of symptoms, stoppage of leak, no recurrence, no complication and regular follow-up. A total of 40 cases were managed between 2006 and 2011 and were reviewed. The main presentation was of cerebrospinal fluid (CSF) leak in 22 cases with most common cause being traumatic. Fovea ethmoidalis being the most common site involved in 19 cases. Conclusion: Endoscopic repair is the most modern and best result-oriented tool in the armamentarium of a surgeon to handle CSF leaks and with use of septal cartilage the results are less burdened with recurrences and failures.

Endoscopic Management of Meningoencephaloceles and other Cranial Base Defects using Septal Cartilage