Postoperative Management Following Endoscopic Skull Base Reconstruction: A Multidisciplinary Cross-Sectional Survey.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-02-18 DOI:10.1002/hed.28116

Khodayar Goshtasbi, Arash Abiri, Vidit Talati, Jagatkumar A Patel, Theodore V Nguyen, Jonathan C Pang, John R Craig, Peter Papagiannopoulos, Katie M Phillips, Bobby A Tajudeen, Nithin D Adappa, James N Palmer, Ahmad R Sedaghat, Eric W Wang, Shirley Y Su, Edward C Kuan

{"title":"Postoperative Management Following Endoscopic Skull Base Reconstruction: A Multidisciplinary Cross-Sectional Survey.","authors":"Khodayar Goshtasbi, Arash Abiri, Vidit Talati, Jagatkumar A Patel, Theodore V Nguyen, Jonathan C Pang, John R Craig, Peter Papagiannopoulos, Katie M Phillips, Bobby A Tajudeen, Nithin D Adappa, James N Palmer, Ahmad R Sedaghat, Eric W Wang, Shirley Y Su, Edward C Kuan","doi":"10.1002/hed.28116","DOIUrl":null,"url":null,"abstract":"Background: There is limited consensus on management protocols and practice patterns following endoscopic skull base surgery (ESBS).Methods: An online-based survey focusing on ESBS practice patterns was anonymously distributed to the American Rhinologic Society, North American Skull Base Society, and American Head and Neck Society Skull Base Section membership.Results: A total of 130 surgeons (81.5% in academic positions) completed the survey. Regarding reconstructive materials, 36.9% always used autologous as opposed to synthetic materials, with variation in specific materials used. Lumbar drain was never used by 22.3% of respondents, while high BMI or suspected intracranial hypertension (43.1%) and high-flow leak or large dural defects (50.0%) were indications for lumbar drain usage. There was significant variation in types of nasal packing, type, and duration of postoperative activity restrictions, antibiotic use, and debridement protocols.Conclusion: Postoperative management following endoscopic skull base reconstruction is highly complex, with a wide variety of practice patterns.Level of evidence: N/A.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hed.28116","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: There is limited consensus on management protocols and practice patterns following endoscopic skull base surgery (ESBS).

Methods: An online-based survey focusing on ESBS practice patterns was anonymously distributed to the American Rhinologic Society, North American Skull Base Society, and American Head and Neck Society Skull Base Section membership.

Results: A total of 130 surgeons (81.5% in academic positions) completed the survey. Regarding reconstructive materials, 36.9% always used autologous as opposed to synthetic materials, with variation in specific materials used. Lumbar drain was never used by 22.3% of respondents, while high BMI or suspected intracranial hypertension (43.1%) and high-flow leak or large dural defects (50.0%) were indications for lumbar drain usage. There was significant variation in types of nasal packing, type, and duration of postoperative activity restrictions, antibiotic use, and debridement protocols.

Conclusion: Postoperative management following endoscopic skull base reconstruction is highly complex, with a wide variety of practice patterns.

Level of evidence: N/A.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

求助全文

约1分钟内获得全文去求助

来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.

期刊最新文献

Postoperative Management Following Endoscopic Skull Base Reconstruction: A Multidisciplinary Cross-Sectional Survey. Upper Aerodigestive Tract Liposarcoma: Four Cases of a Rare Entity and a Review of the Literature. Front Cover Issue Information Factors Increasing the Likelihood of Postoperative Hematomas Following Thyroid Surgery.