Meningoencephalocele is a type of encephalocele, which is an abnormal sac of fluid, brain tissue, and meninges (membranes that cover the brain and spinal cord) that extends through a defect in the skull. There are two main types of meningoencephalocele, which are named according to the location of the sac. The frontoethmoidal type is located at the frontal and ethmoid bones while the occipital type is located at the occipital bone. Hydrocephalus, abnormalities of the eyeball and tear duct, and other findings have been associated with the condition.

2. Meningoencephalocele exposed with Frontal sinus drill out

3. Meningoencephalocele excised with Coblation

4. Accessory 6mm portal created to aid in surgery with a suprabrow incision

5. Duragen placed over the defect and underlay tucking done through accessory portal.

6. View of duragen after underlay tucking.

7. Bath plug graft created using fat harvested from thigh.

8. String tightly pulled to "Flatten out" the fat and create a water-tight seal.

9. Fascia Lata used as overlay.

10. With the help of the accessory portal, you can ensure proper approximation of the graft with the bone.

11. Tisseal used over the edges to secure the graft.