Journal
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA
Volume 49, Issue 1, Pages 253-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.otc.2015.09.015
Keywords
Endoscopic skull base surgery; Endoscopic skull base reconstruction; Postoperative management; Postoperative complications; Postoperative debridement; Postoperative infection; CSF leak; Quality of life outcomes
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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.
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