# Endoscopic repair of traumatic sphenoid sinus meningoencephalocele with cerebrospinal fluid rhinorrhea: a case report and literature review

**Authors:** Jiarong Tan, Chengcheng Zuo, Feiying Guo, Shunli Tang

PMC · DOI: 10.3389/fsurg.2025.1665062 · Frontiers in Surgery · 2025-10-08

## TL;DR

This paper presents a successful endoscopic treatment for a rare brain injury involving cerebrospinal fluid leakage.

## Contribution

The paper introduces an endoscopic transmaxillary approach as a novel surgical option for traumatic sphenoid sinus meningoencephalocele.

## Key findings

- A case was successfully treated using an endoscopic transmaxillary posterior wall approach.
- The endoscopic approach may offer a promising alternative to traditional open procedures for this condition.

## Abstract

Traumatic sphenoid sinus meningoencephalocele with cerebrospinal fluid (CSF) rhinorrhea is a clinically rare condition, typically presenting as trauma-induced clear watery discharge from the nasal cavity and nasopharynx. Surgery is the mainstay of treatment, including open and endoscopic procedures. Herein, we report a case of traumatic sphenoid sinus encephalocele with CSF rhinorrhea that was successfully treated using an endoscopic transmaxillary posterior wall approach, and reviewed the literature on endoscopic approaches for this condition. Our clinical experience indicates that an endoscopic transmaxillary approach may be a novel and promising surgical option for this condition.

## Linked entities

- **Diseases:** cerebrospinal fluid rhinorrhea (MONDO:0020773)

## Full-text entities

- **Diseases:** CSF rhinorrhea (MESH:D002559), rhinorrhea (MESH:D012818), trauma (MESH:D014947), sphenoid sinus encephalocele (MESH:D004677)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12540477/full.md

## References

9 references — full list in the complete paper: https://tomesphere.com/paper/PMC12540477/full.md

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Source: https://tomesphere.com/paper/PMC12540477