Abstract
The skull base is an anatomically challenging location that is unique in that it requires three-dimensional considerations when formulating a reconstruction plan. Various methods have been described for repair including open, endoscopic and endoscopic-assisted approaches. Each of these can have complications that can arise either directly from access to the lesion or defect, or indirectly arising from patient characteristics, anesthetic considerations, as well as postoperative care. It is of utmost importance for the surgeon to select the appropriate technique and surgical access depending on the location of the lesion as well as the patient's specific anatomic variations. In this chapter, we highlight morbidity and mortality arising from various anatomical locations encountered during access for repair of skull base defects as well as those that may arise from lumbar drain placement. We also highlight some treatment protocols from the literature that will aid in the management of these complications. Careful patient selection, review of preoperative imaging, and meticulous technique are of utmost importance to prevent life-threatening problems. Surgeons should have intimate knowledge regarding management as well as methods in place to minimize their occurrence.
| Original language | English (US) |
|---|---|
| Title of host publication | Advances in Oto-Rhino-Laryngology |
| Publisher | S. Karger AG |
| Pages | 148-162 |
| Number of pages | 15 |
| Volume | 74 |
| ISBN (Electronic) | 9783805599535 |
| ISBN (Print) | 9783805599528 |
| DOIs | |
| State | Published - Dec 12 2012 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Complications of skull base reconstruction. / Chaaban, Mohamad; Woodworth, Bradford A.
Advances in Oto-Rhino-Laryngology. Vol. 74 S. Karger AG, 2012. p. 148-162.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Complications of skull base reconstruction
AU - Chaaban, Mohamad
AU - Woodworth, Bradford A.
PY - 2012/12/12
Y1 - 2012/12/12
N2 - The skull base is an anatomically challenging location that is unique in that it requires three-dimensional considerations when formulating a reconstruction plan. Various methods have been described for repair including open, endoscopic and endoscopic-assisted approaches. Each of these can have complications that can arise either directly from access to the lesion or defect, or indirectly arising from patient characteristics, anesthetic considerations, as well as postoperative care. It is of utmost importance for the surgeon to select the appropriate technique and surgical access depending on the location of the lesion as well as the patient's specific anatomic variations. In this chapter, we highlight morbidity and mortality arising from various anatomical locations encountered during access for repair of skull base defects as well as those that may arise from lumbar drain placement. We also highlight some treatment protocols from the literature that will aid in the management of these complications. Careful patient selection, review of preoperative imaging, and meticulous technique are of utmost importance to prevent life-threatening problems. Surgeons should have intimate knowledge regarding management as well as methods in place to minimize their occurrence.
AB - The skull base is an anatomically challenging location that is unique in that it requires three-dimensional considerations when formulating a reconstruction plan. Various methods have been described for repair including open, endoscopic and endoscopic-assisted approaches. Each of these can have complications that can arise either directly from access to the lesion or defect, or indirectly arising from patient characteristics, anesthetic considerations, as well as postoperative care. It is of utmost importance for the surgeon to select the appropriate technique and surgical access depending on the location of the lesion as well as the patient's specific anatomic variations. In this chapter, we highlight morbidity and mortality arising from various anatomical locations encountered during access for repair of skull base defects as well as those that may arise from lumbar drain placement. We also highlight some treatment protocols from the literature that will aid in the management of these complications. Careful patient selection, review of preoperative imaging, and meticulous technique are of utmost importance to prevent life-threatening problems. Surgeons should have intimate knowledge regarding management as well as methods in place to minimize their occurrence.
UR - http://www.scopus.com/inward/record.url?scp=84925710805&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925710805&partnerID=8YFLogxK
U2 - 10.1159/000342291
DO - 10.1159/000342291
M3 - Chapter
C2 - 23257561
AN - SCOPUS:84871963314
SN - 9783805599528
VL - 74
SP - 148
EP - 162
BT - Advances in Oto-Rhino-Laryngology
PB - S. Karger AG
ER -