Endoscopic Management of Congenital Intranasal Meningocele in 3-Month Old Infant

Fronto-ethmoidal meningocoele is a rare congenital condition with protrusion of meninges through anterior cranial fossa into the facial skeleton, surgical repair should be done in order to resolve nasal obstruction, provide a watertight division between sino-nasal and intra-cranial cavities and minimise injury to any CNS contents (Maddalozzo in Issue Otolaryngol Clin N Am 2015). Open approaches may be required but endoscopic endo-nasal repairs can be done in paediatric skull-base defects. A 3 month-old infant with fronto-ethmoidal meningocele operated with endo-nasal approach. In regular follow up and there is no recurrence reported till now. Recent techniques and skills will increase the use of endo-nasal approaches in paediatric skull-base surgery without complications associated with external approaches. © 2016, Association of Otolaryngologists of India.