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Modified two flap palatoplasty in asymptomatic transsphenoidal encephalocele: a case report

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2018, v.44 no.2, pp.86-90
Sunil Richardson (Richardsons Dental and Craniofacial Hospital)
Rakshit Vijay Khandeparker (Richardsons Dental and Craniofacial Hospital)
Ajit Kumar Raghuvaram (Azeezia Medical College)
Ram Mohan (Private Practitioner, Krishnagiri)

Abstract

About one-third of patients with transsphenoidal basal encephaloceles have associated congenital anomalies, including cleft palate. Moreover, they areoften plagued by symptomatic exacerbations in the form of upper respiratory obstructions, cerebrospinal fluid leaks, meningitis, etc., with few patientsbeing asymptomatic. We herein present a rare asymptomatic case of transsphenoidal basal encephalocele in an 18-month-old child with cleft palate andhighlight a modified version of two-flap palatoplasty.

keywords
Basal encephalocele, Transsphenoidal variant, Asymptomatic, Cleft palate, Palatoplasty

Journal of the Korean Association of Oral and Maxillofacial Surgeons