Comprehensive Postoperative Management After Endoscopic Skull Base Surgery

被引：29
|
作者：
Tien, Duc A. [1 ]
Stokken, Janalee K. [2 ]
Recinos, Pablo F. [1 ,3 ]
Woodard, Troy D. [1 ,3 ]
Sindwani, Raj [1 ,3 ]
机构：
[1] Cleveland Clin Fdn, Head & Neck Inst, Sect Rhinol Sinus & Skull Base Surg, Cleveland, OH 44195 USA
[2] Mayo Clin, Dept Otolaryngol Head & Neck Surg, Rochester, MN USA
[3] Cleveland Clin, Minimally Invas Cranial Base & Pituitary Surg Pro, Rose Ella Burkhardt Brain Tumor & Neurooncol Ctr, Neurol Inst, Cleveland, OH 44106 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2016年 / 49卷 / 01期
关键词：
Endoscopic skull base surgery; Endoscopic skull base reconstruction; Postoperative management; Postoperative complications; Postoperative debridement; Postoperative infection; CSF leak; Quality of life outcomes; QUALITY-OF-LIFE; SEPTAL FLAP RECONSTRUCTION; CEREBROSPINAL-FLUID LEAKS; PEDICLED NASOSEPTAL FLAP; NASAL MORBIDITY; TRANSSPHENOIDAL SURGERY; PEDIATRIC POPULATION; OLFACTORY OUTCOMES; PITUITARY SURGERY; ENDONASAL SURGERY;
D O I：
10.1016/j.otc.2015.09.015
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
To maximize outcomes from endoscopic skull base surgery, careful early postoperative management is critically important. Standardized postoperative regimens are lacking. The type of reconstruction and presence and type of cerebrospinal fluid leak dictate management. If a leak is encountered intraoperatively, patients should avoid maneuvers that increase intracranial pressures for at least 1 month. Early postoperative care focuses on minimizing and managing nasal crusting. This article reviews the evidence in the literature on postoperative management, complications, and quality of life after surgery, and outlines our experience in the management of patients after endoscopic skull base surgery.
引用
收藏
页码：253 / +
页数：13
相关论文
共 50 条
  • [41] Perioperative management in endoscopic endonasal skull-base surgery: a survey of the North American Skull Base Society
    Roxbury, Christopher R.
    Lobo, Brian C.
    Kshettry, Varun R.
    D'Anza, Brian
    Woodard, Troy D.
    Recinos, Pablo F.
    Snyderman, Carl H.
    Sindwani, Raj
    INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY, 2018, 8 (05) : 631 - 640
  • [42] Radiologic Assessment of the Paranasal Sinuses after Endoscopic Skull Base Surgery
    DeConde, Adam S.
    Vira, Darshni
    Thompson, Christopher F.
    Wang, Marilene B.
    Bergsneider, Marvin
    Suh, Jeffrey D.
    JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE, 2013, 74 (06) : 351 - 357
  • [43] Treatment of pneumocephalus after endoscopic sinus and microscopic skull base surgery
    DelGaudio, John M.
    Ingley, Avani P.
    AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2010, 31 (04) : 226 - 230
  • [44] Endoscopic management of skull base osteoradionecrosis
    Chang, KP
    Tsang, NM
    Chen, CY
    Su, JL
    Hao, SP
    LARYNGOSCOPE, 2000, 110 (07): : 1162 - 1165
  • [45] Incidence, risk factors, and outcomes of endoscopic sinus surgery after endoscopic skull-base surgery
    Shah, Ravi R.
    Maina, Ivy W.
    Patel, Neil N.
    Triantafillou, Vasiliki
    Workman, Alan D.
    Kuan, Edward C.
    Tong, Charles C. L.
    Kohanski, Michael A.
    O'Malley, Bert W., Jr.
    Adappa, Nithin D.
    Palmer, James N.
    INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY, 2020, 10 (04) : 521 - 525
  • [46] Avoidance of postoperative epistaxis and anosmia in endonasal endoscopic skull base surgery: a technical note
    Griffiths, Chester F.
    Cutler, Aaron R.
    Duong, Huy T.
    Bardo, Gal
    Karimi, Kian
    Barkhoudarian, Garni
    Carrau, Ricardo
    Kelly, Daniel F.
    ACTA NEUROCHIRURGICA, 2014, 156 (07) : 1393 - 1401
  • [47] Predictive Factors for Postoperative Opioid Use in Elective Endoscopic Endonasal Skull Base Surgery
    Potter, Tamia
    Soni, Pranay
    Krywyj, Maria
    Petitt, Jordan
    Jarmula, Jakub
    Obiri-Yeboah, Derrick
    Oyem, Precious
    Momin, Arbaz
    Easley, Kathryn
    Sindwani, Raj
    Woodard, Troy
    Recinos, Pablo F.
    Kshettry, Varun R.
    LARYNGOSCOPE, 2023, 133 (03): : 494 - 499
  • [48] Endoscopic Ventral Skull Base Surgery: Is Early Postoperative Imaging Warranted for Detecting Complications?
    Diaz, Lucia
    Mady, Leila J.
    Mendelson, Zachary S.
    Liu, James K.
    Eloy, Jean Anderson
    LARYNGOSCOPE, 2015, 125 (05): : 1072 - 1076
  • [49] Avoidance of postoperative epistaxis and anosmia in endonasal endoscopic skull base surgery: a technical note
    Chester F. Griffiths
    Aaron R. Cutler
    Huy T. Duong
    Gal Bardo
    Kian Karimi
    Garni Barkhoudarian
    Ricardo Carrau
    Daniel F. Kelly
    Acta Neurochirurgica, 2014, 156 : 1393 - 1401
  • [50] Endoscopic skull base surgery: where on the parabola?
    Cappabianca, Paolo
    Doglietto, Francesco
    Gentili, Fred
    Nicolai, Piero
    JOURNAL OF NEUROSURGICAL SCIENCES, 2016, 60 (04) : 438 - 440
12345