Postoperative management following endoscopic skull base surgery

被引:0
作者
Vozel, Domen [1 ,2 ]
Urbancic, Jure [1 ,2 ]
机构
[1] Univ Med Ctr Ljubljana, Dept Otorhinolaryngol & Cervicofacial Surg, Zaloska Cesta 2, Ljubljana 1000, Slovenia
[2] Univ Ljubljana, Fac Med, Ljubljana, Slovenia
关键词
neuroendoscopy; postoperative care; postoperative complications; skull base; PROPHYLAXIS;
D O I
10.1097/MOO.0000000000001010
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Purpose of reviewThe purpose of this opinion is to review current evidence regarding postoperative management following endoscopic skull base surgery.Recent findingsPostoperative management encompasses consideration of level of care, laboratory tests, analgetic and antiemetic therapy, antibiotic, antithrombotic and antiepileptic prophylaxis, pharmacological and nonpharmacological cerebrospinal fluid (CSF) pressure reduction measures, including CSF diversion, activity restrictions, nasal packing removal, nasal debridement and toilet, nasal glucocorticoid administration, positive pressure ventilation, imaging, CSF leak diagnosis, and future perspectives.SummaryAlthough significant effort has been put into research of postoperative measures after endoscopic skull-base surgery, there is a heterogeneity of practices and deficit of high-level studies, which would enable highly powered systematic reviews and meta-analyses.
引用
收藏
页码:7 / 12
页数:6
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