Evidence map›Paper›PMID 31129706›Full record

Observational studyChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

Treating nasoethmoidal encephalocele in a low-resource country: a surgical experience from a Philippine multidisciplinary craniofacial team.

Dax Carlo G Pascasio, Rafael Denadai, Gerardo D Legaspi, Servando Andres Liban, Bernard U Tansipek

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Dax Carlo G PascasioDivision of Plastic and Reconstructive Surgery, Philippine General Hospital, 1730 Taft Avenue, Malate, 1000, Manila, Philippines. daxpascasio@gmail.com.
Rafael DenadaiInstitute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, Brazil.
Gerardo D LegaspiDivision of Neurosurgery, Philippine General Hospital, Manila, Philippines.
Servando Andres LibanDivision of Neurosurgery, Philippine General Hospital, Manila, Philippines.
Bernard U TansipekDivision of Plastic and Reconstructive Surgery, Philippine General Hospital, 1730 Taft Avenue, Malate, 1000, Manila, Philippines.
Philippine General Hospital · PHHospital of Sobrapar · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt was described that nasoethmoidal encephalocele repair in the Philippines has been limited by insufficient resources, financial constraints, and a lack of surgical expertise. The purpose of this study was to report initial results and complications of Philippine patients with nasoethmoidal encephalocele surgically managed with an approach adapted to an environment with limited financial resources.

methodsAll patients (n = 21) with nasoethmoidal encephalocele who underwent intracranial and extracranial repairs (frontal wedge osteotomy to access the encephalocele cyst and cranial base defect, dural defect repair, split frontal grafts fixed with polydioxanone sutures to reconstruct the cranial defect and nasal dorsum, and medial canthopexy) from January 2015 to May 2017 were included. The correlations between sizes of masses and cranial defects with the occurrence of complications were tested. The surgical results were classified based on a previously published outcome grading scales I-IV on the need for additional surgery.

resultsNineteen patients (90.5%) had unremarkable post-operative course. Two patients (9.5%) presented with complications (cerebrospinal fluid leak and surgical site infection) which were successfully managed with no additional surgery. The sizes of masses and cranial defects were not correlated (p > 0.05) with complications. The overall rate of surgical results ranked according to the need for additional surgery was 2.4 ± 0.5 (between categories II and III).

conclusionsWe reported successful surgical repair of nasoethmoidal encephaloceles in Philippine patients by a local multidisciplinary craniofacial team.

Indexed as

Child, PreschoolDeveloping CountriesEncephaloceleEthmoid BoneFemaleHumansMaleNeurosurgical ProceduresPhilippinesPostoperative ComplicationsSurgery, PlasticComplicationsNasoethmoidal encephalocelesSurgery

Identifiers

PMID31129706
OpenAlexW2945762116

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.