Complication Avoidance in Endoscopic Skull Base Surgery

Otolaryngol Clin North Am. 2016 Feb;49(1):227-35. doi: 10.1016/j.otc.2015.09.014.

Abstract

Endoscopic endonasal approaches to the skull base pathology have developed and evolved dramatically over the past 2 decades, particularly with collaboration between neurosurgery and otolaryngology physicians. These advances have increased significantly the use of such approaches beyond just resection of pituitary adenomas, including a variety of skull base pathologies. As the field has evolved, so has our understanding of the complications accompanying endoscopic skull base surgery, as well as techniques to both avoid and manage these complications. These are discussed here.

Keywords: CSF leak; Complications; Cranial nerve injury; Diabetes insipidus; Endoscopic skull base surgery; Panhypopituitarism; Vascular injury.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cerebrospinal Fluid Leak / prevention & control*
  • Cranial Nerve Diseases / etiology
  • Endoscopy / adverse effects*
  • Humans
  • Intraoperative Complications / prevention & control*
  • Magnetic Resonance Imaging
  • Meningitis / prevention & control*
  • Neurosurgical Procedures / adverse effects*
  • Nose / surgery
  • Otolaryngology
  • Pituitary Neoplasms / surgery
  • Postoperative Complications / prevention & control*
  • Professional Corporations
  • Skull Base / surgery
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents