Comprehensive Postoperative Management After Endoscopic Skull Base Surgery.

Comprehensive Postoperative Management After Endoscopic Skull Base Surgery.

Otolaryngol Clin North Am. 2016 Feb;49(1):253-263

Authors: Tien DA, Stokken JK, Recinos PF, Woodard TD, Sindwani R

Abstract
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.

PMID: 26614842 [PubMed - as supplied by publisher]

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