Tropical Doctor > Volume 38, Number 3 > Pp. 167-170

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Short Reports

Frontoethmoidal meningoencephalocoele repair in Cambodia: outcomes and cost comparisons

J Gollogly ^*    N Oucheng ^*   G Lauer     T Pinzer     F Lauwers    F E Roux    W Singleton ^**   S Douglas 

^* Children's Surgical Center, Kien Khleang, Chroy Changvar, Phnom Penh, Cambodia; Department of Cranio-maxillofacial Surgery; Department of Neurosurgery, Carl Gustav Carus University Hospital, Dresden, Germany; Department of Cranio-facial Surgery and Federation of Neurosurgery, University Hospitals, Toulouse, France; ^** University of Oxford Medical School, Oxford, UK

Correspondence to: Dr J Gollogly, Children's Surgical Centre, Kien Khleang, Chroy Changvar, PO Box 1060, Phnom Penh, Cambodia Email: jim{at}csc.org

In Cambodia, spina bifida is rare, but frontoethmoidal meningoencephalocoeles (MECs) are common. Mean life expectancy for patients with congenital MECs may be <20 years, but the complex treatment required has not been available in the country until recently. During visits by combined neurosurgical/craniofacial teams from both Germany and France, a method of repair has been developed that is suitable for the local conditions, affordable and has allowed Cambodian surgeons to learn how to successfully treat MECs. The surgical technique and initial results with 30 patients have been described in a previous publication. This paper presents the outcomes of 128 cases and illustrates that it is cost-effective for these patients to be treated in Cambodia.

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