title: Comprehensive management of the paranasal sinuses in patients undergoing endoscopic endonasal skull base surgery.
abstract: OBJECTIVE
  The endonasal route often provides the most direct and safe approach to skull base pathology. In this article we review the literature with regard to management of the paranasal sinuses in the setting of skull base surgery.
  
  
  METHODS
  We describe our institutional experience and review the literature of concurrent management of the sinusitis in patients undergoing endoscopic skull base surgery.
  
  
  RESULTS
  Patients should be optimized preoperatively to ensure the endonasal route is a safe corridor to enter the intracranial cavity. Often the paranasal sinuses can be surgically addressed at the same time as endoscopic skull base surgery. We describe the technical details of management of the paranasal sinuses when addressing skull base pathology.
  
  
  CONCLUSIONS
  Careful management of the paranasal sinuses throughout the peri-operative course is paramount to optimizing sinonasal function and safety.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address: gurston.nyquist@jefferson.edu.
authors.forename: Gurston G
authors.initials: GG
authors.lastname: Nyquist
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: Marc R
authors.initials: MR
authors.lastname: Rosen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Friedel
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: D David
authors.initials: DD
authors.lastname: Beahm
authors.affiliation: Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Farrell
authors.affiliation: Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: James J
authors.initials: JJ
authors.lastname: Evans
mesh_terms: D004724:Endoscopy / Q000379:methods*; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D010256:Paranasal Sinuses / Q000601:surgery*; D019990:Perioperative Care / Q000379:methods*; D011182:Postoperative Care; D011300:Preoperative Care; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery
keywords: Endoscopic skull base surgery; Pituitary; Pituitary adenoma; Sinusitis; Skull base; Transsphenoidal