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North American Skull Base Society

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2025 Poster Presentations

2025 Poster Presentations

 

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P031: LATERAL ORBITOTOMY FOR REPAIR OF A SPHENOID ENCEPHALOCELE
Luke Silveira, MD; Elizabeth Houle, MD; Brandon Liebelt, MD; University of Vermont Medical Center

In this case, a young man presented with retro-orbital pressure headaches and right eye proptosis secondary to a sphenoid wing encephalocele.  A lateral orbitotomy was performed to directly access the greater sphenoid wing site of dehiscence with minimal bone removal and a 1.5cm lateral canthal incision.  The encephalocele was resected back to normal dural edges, and double-layered fascia lata graft was enveloped about the native dural edge to provide a reliable dural repair.

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