Iatrogenic meningoencephalocele after traumatic perforation of the cribriform plate during nasal intubation of a preterm infant

Publication date: Available online 15 December 2018

Source: International Journal of Pediatric Otorhinolaryngology

Author(s): M. Renaud, L. Fath, M. Cheptou, L. Dillenseger, S. Riehm, A. Venkatasamy, C. Debry, I. Djennaoui

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.

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