TY  - CHAP
M1  - Book, Section
TI  - Endoscopic Skull Base Surgery
A1  - Riley, Charles A.
A1  - Gudis, David A.
A2  - Lalwani, Anil K.
PY  - 2020
T2  - Current Diagnosis & Treatment Otolaryngology—Head and Neck Surgery, 4e
AB  - CLINICAL  PEARLSSuccessful  endoscopic  skull  base  surgery  relies  on  proper  preoperative  workup  and  counseling,  a  collaborative  relationship  with  neurosurgery,  and  meticulous  surgical  planning  and  technique  for  tumor  resection  and  skull  base  reconstruction.A  detailed  history  and  physical  examination  with  nasal  endoscopy  should  be  performed  to  determine  the  characteristics  of  the  lesion  as  well  as  concurrent  sinonasal  pathology,  in  addition  to  signs  and  symptoms  of  orbital  or  intracranial  involvement.  Preoperative  imaging  includes  both  magnetic  resonance  imaging  (MRI)  and  computed  tomography  (CT).  The  decision  to  perform  a  preoperative  biopsy  versus  primary  surgical  resection  is  dependent  on  the  patient,  the  surgeon,  and  the  suspected  pathology.A  thorough  understanding  of  endoscopic  surgical  corridors,  the  principles  of  tumor  surgery,  multisurgeon  techniques,  and  skull  base  reconstructive  options  is  crucial  for  successful  endoscopic  skull  base  surgery.Perioperative  management  requires  the  multidisciplinary  care  of  otolaryngologists,  neurosurgeons,  anesthesiologists,  and  nurses,  and  may  include  endocrinologists,  ophthalmologists,  and  others.The  surgical  team  must  be  prepared  to  manage  potentially  major  complications,  including  cerebrospinal  fluid  (CSF)  leak,  carotid  artery  bleed,  meningitis,  stroke,  or  death.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1169081513
ER  -