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Single Layer Biomaterial Repair of Frontal Sinus Encephalocele in a Pediatric Patient
Author(s) -
SuVelez Brooke M.,
Hsu David W.,
West Alisha N.,
Suh Jeffrey D.
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29198
Subject(s) - skull , encephalocele , frontal sinus , medicine , surgery , sinus (botany) , cranioplasty , orbit (dynamics) , dentistry , biology , genus , aerospace engineering , botany , engineering
Reconstruction of skull base defects are determined by size, location, and complexity of the defect. Methods Case report. Case Discussion An 11‐year old girl presented with a right frontoethmoidal encephalocele after an episode of meningitis. An endoscopic approach was performed with a Draf III to provide exposure. The skull base defect extended superolateral over the orbit, which limited the choice of reconstructive options. The defect was successfully repaired with a single layer onlay graft of bovine collagen matrix. Conclusions Single layer repairs using commercial biomaterials should be considered where multilayer closure or vascularized flaps may not be possible. Laryngoscope , 131:E1750–E1752, 2021