Unified endoscopic and neurosurgical approach for frontoethmoidal meningoencephalocele: a case study

A congenital condition known as frontoethmoidal encephalomeningocele (FEEM) involves the herniation of the meninges and glial tissue, which can lead to abnormalities and morbidities in the neural system. The main management is surgical with aim is to remove the meningoencephalocele. We highlight the potential to improve patient outcomes and reduce morbidity. We present a FEEM case in our center at Hospital Raja Permaisuri Bainun(HRPB) whereby surgical approach were unified together with Otorhinolaryngology team and Neurosurgical team which result in successful removal of Encephalocele. A combined surgery with the Otorhinolaryngology and Neurosurgery team in which the encephalocele was then excised via a modified trans-basal bifrontal craniotomy and later proceeded with Hadad flap to cover defect. The interdisciplinary collaboration between neurosurgeons and otorhinolaryngology surgeons is deemed essential in achieving both functional and aesthetic outcomes. This approach underlines the importance of tailored surgical strategies in managing FEEM.