Combined Transnasal and Transcranial Approach for Repair of a Multifocal Meningoencephalocele
Abstract
This video demonstrates the management of multifocal ethmoid and frontal meningoencephaloceles in a 50-year-old female using combined transcranial and endoscopic endonasal approaches. Lesions were successfully isolated and fulgurated, followed by multilayered reconstruction using a pericranial flap over the skull base, and fascia lata graft and nasoseptal flap over the cribriform plate. Postoperatively, the patient experienced symptom resolution without complications. This case highlights the effectiveness of a tailored multidisciplinary approach for complex anterior skull base defects. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Head and Neck Surgical Oncology
Reconstructive Facial Surgery Techniques
Neurosurgical Procedures and Complications
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN