Nasal framework osteotomy: An innovative approach to manage an extremely long nose with meningoencephalocele

Nasal encephalocele is an uncommon congenital deformity in which the intracranial soft tissue components herniate through the skull base into the nasal cavity. Nasal encephaloceles may form large extracranial masses that necessitate early neurosurgical intervention. They can also cause deformation of the nasal bridge, causing elongation of the nose or severe orbital deformities. [1,2,3] The conventional approach to these cases includes obtaining wide and complicated intracranial access. [1,2,3,4] More recently, conservative techniques including transfacial incisions or intranasal endoscopic approaches have shown comparable outcomes.

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