Nasal Encephaloceles

Congenital nasal encephaloceles are complex problems that are best treated by the combined efforts of a neurosurgeon and a plastic surgeon. An encephalocele is the herniation of the brain through a congenital or traumatic opening in the cranium. Alterations and distortions of the surrounding facial structures, such as deformities of the naso-orbital skeleton due to an absence or separation of bone in the midline of the face, are complications of encephaloceles due to their position and size.

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Comprehensive treatment includes resecting the encephalocele, repairing the fibrous covering of the brain, repairing any bony defects, and reconstructing a more normal soft tissue facial appearance. With recent advances in diagnostic and surgical techniques, it is possible to perform a thorough preoperative evaluation and to treat the lesion with definitive one-stage reconstruction at the time of excision.

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