Abstract

This video demonstrates the transorbital approach for endoscopic repair of an anterior skull base encephalocele. The patient is a 77-year-old man with morbid obesity and a 2-year history of left-sided cerebrospinal fluid (CSF) rhinorrhea and radiographic evidence of an anterior skull base defect with an encephalocele. An endoscopic transorbital approach was chosen for repair because of its minimally invasive access to the anterolateral skull base. The patient had an excellent clinical outcome with resolution of the CSF rhinorrhea and preservation of full vision and extraocular muscle function.The video can be found here: https://youtu.be/oDhZgnaiZ00.

Highlights

  • This video demonstrates the transorbital approach for endoscopic repair of an anterior skull base encephalocele

  • We will be demonstrating a transorbital approach for endoscopic repair of an anterior skull base encephalocele

  • Findings were consistent with an anterior skull base encephalocele

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Summary

Introduction

This video demonstrates the transorbital approach for endoscopic repair of an anterior skull base encephalocele. KEYWORDS cerebrospinal fluid; encephalocele; endoscopy; rhinorrhea; transorbital; video We will be demonstrating a transorbital approach for endoscopic repair of an anterior skull base encephalocele. The patient is a 77-year-old man with a 2-year history of left-sided nasal drainage. CT of the head demonstrated thinning and erosion of the left orbital roof, or floor of the left anterior cranial fossa.

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