10 pearls for safe endoscopic skull base surgery.
The introduction of the endoscopic endonasal approach for the management of lesions of the skull base has produced a paradigm shift in the way complicated lesions of this complex anatomic location are managed. The endonasal approach provides the most direct route to the anterior cranial base and adjacent skull base locations. This article presents the 10 most important tenets that have proved useful to the authors regarding postoperative patient management and surgical practice.
Schaberg
Madeleine R
MR
Department of Otolaryngology, Weill Medical College of Cornell University, New York-Presbyterian Hospital, 1305 York Avenue, Fifth Floor, New York, NY 10065, USA. madeleine.schaberg@gmail.com <madeleine.schaberg@gmail.com>
Anand
Vijay K
VK
Schwartz
Theodore H
TH
D002558:Cerebrospinal Fluid Otorrhea / Q000628:therapy; D002559:Cerebrospinal Fluid Rhinorrhea / Q000628:therapy; D003646:Debridement; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D019793:Fluorescein / Q000008:administration & dosage; D005456:Fluorescent Dyes / Q000008:administration & dosage; D006801:Humans; D007278:Injections, Spinal; D007427:Intracranial Pressure; D007432:Intraoperative Period; D008279:Magnetic Resonance Imaging; D019300:Medical Errors / Q000517:prevention & control; D019635:Neurosurgical Procedures; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D019736:Prostheses and Implants; D019291:Skull Base / Q000000981:diagnostic imaging / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
D005456:Fluorescent Dyes; D019793:Fluorescein