Management of sphenoid lateral recess encephalocoeles

Govindaraju, R. and Tang, I.P. and Prepageran, N. Management of sphenoid lateral recess encephalocoeles. Current Opinion in Otolaryngology and Head and Neck Surgery, 27 (1). pp. 37-46. ISSN 1068-9508

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Abstract

Purpose of reviewSphenoid sinus lateral recess encephalocoeles (SSLRE) are rare occurrences and pose unique challenges due to limited surgical access for endoscopic endonasal repair and also the lack of consensus on optimal perioperative managements specifically in the spontaneous cases, which are also believed to be a variant of idiopathic intracranial hypertension (IIH). Endoscopic endonasal approaches have largely replaced the transcranial route and the techniques are continuously being refined to reduce the neurovascular morbidity and improve outcome.Recent findingsTranspetrygoid is the most utilized approach with modifications suggested to limit bone removal, exposure and preservation of the neurovascular structures as dictated by the extent of the lateral recess. As more experience is gained, extended transphenoidal techniques were also successfully used for access. Lateral transorbital is a new approach to the lateral recess investigated in cadavers. IIH treatment is still controversial in the setting of SSLRE, but it appears rationale to evaluate, monitor and treat if necessary.SummarySSLRE management should be tailored to the specific anatomical variances and cause. Modifications of techniques have been described giving different options to access the lateral recess. Successful repair for spontaneous SSLRE may require treatment of IIH if present, but the long-term outcome is still unclear. © 2018 Wolters Kluwer Health, Inc. All rights reserved.

Item Type: E-Article
Uncontrolled Keywords: Cerebrospinal Fluid, Cerebrospinal Fluid Rhinorrhea, Skull Base, UNIMAS, university, Borneo, Malaysia, Sarawak, Kuching, Samarahan, IPTA, education, Universiti Malaysia Sarawak
Subjects: Q Science > Q Science (General)
R Medicine > R Medicine (General)
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Depositing User: Tuah
Date Deposited: 12 Jun 2020 02:22
Last Modified: 29 Jun 2020 03:30
URI: http://ir.unimas.my/id/eprint/29918

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