Kenny has a frontonasal encephalocele.

Our patient has a frontonasal encephalocele with a midline cleft.

So between removing the encephalocele and closing up the facial cleft...

I mean, the combination of encephalocele and facial cleft... surgeons go their whole career without seeing one of these.

So the good news is, the ultrasound revealed the encephalocele itself contains only fluid, no actual brain matter.

We have to use both an extra and intracranial approach to get enough exposure to reduce the encephalocele cyst and do the bony reconstruction.

As reported in US ATSDR (1995) and EHC 43 (IPCS, 1984), gestational exposure of rats and mice to low doses of chlordecone resulted in increased stillbirths and decreased postnatal viability, reduced fetal or neonatal weight and/or skeletal ossification and a low incidence of malformations such as renal pelvis dilatation, undescended testes, enlarged cerebral ventricles, clubfoot, fused vertebrae or ribs, and encephalocele.

As reported in US ATSDR (1995) and EHC 43 (IPCS, 1984), gestational exposure of rats and mice to low doses of Chlordecone resulted in increased stillbirths and decreased postnatal viability, reduced fetal or neonatal weight and/or skeletal ossification and a low incidence of malformations such as renal pelvis dilatation, undescended testes, enlarged cerebral ventricles, clubfoot, fused vertebrae or ribs, and encephalocele.