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
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