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Endoscopic Endonasal Transethmoidal Approach for the Management of a Traumatic Brain Abscess and Reconstruction of the Accompanying Anterior Skull Base Defect

Tanriover, Necmettin MD*; Kucukyuruk, Baris MD*; Erdi, Fatih MD; Kafadar, Ali Metin MD*; Gazioğlu, Nurperi MD*

doi: 10.1097/SCS.0000000000002015
Clinical Studies
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Skull base endoscopy in the treatment of brain abscesses has been rarely published. Moreover, endoscopic endonasal transethmoidal approach (EETA) for the treatment of brain abscess following a head trauma has been reported only in a few case reports. We report the management of a patient of intracerebral abscess and reconstruction of the accompanying anterior skull base defect through an EETA.

Thirty-year-old male with a frontal lobe abscess due to a penetrating skull base trauma was operated via EETA. After drainage of the abscess, dural and bony defects were repaired to prevent any recurrence. Postoperative radiological imaging revealed prominent decrease in abscess size. The patient did not need any further surgical intervention, and antibiotherapy was adequate.

EETA is safe and effective in the management of brain abscesses. Skull base endoscopy provides direct visualization of the abscess cavity through a minimal invasive route, facilitates wide exposure of surrounding neurovascular structures within the operative field, and enables concurrent closure of the skull base defect.

*Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul

Department of Neurosurgery, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

Address correspondence and reprint requests to Necmettin Tanriover, MD, Eflatun sok. Leylak sitesi. B blok. D.2 Fenerbahce, Istanbul 34726, Turkey; E-mail: nctan27@yahoo.com

Received 11 August, 2014

Accepted 28 June, 2015

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.