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Complications of skull base surgery
M K Schwaber1, J L Netterville, J U Coniglio
1Vanderbilt University Medical Center, Nashville, TN 37232.
Ear, Nose, & Throat Journal
|September 1, 1991
Summary
Skull base surgery complications like CSF leaks and nerve deficits are increasing. This review details their causes, prevention, and management strategies for better patient outcomes.
Area of Science:
- Neurosurgery
- Surgical Oncology
Background:
- Skull base resections are becoming more complex.
- Increased complexity correlates with higher complication rates.
Purpose of the Study:
- To review major complications of skull base surgery.
- To summarize factors leading to complications and their prevention.
- To discuss management strategies, focusing on CSF leak and vagal nerve paralysis.
Main Methods:
- Literature review of skull base surgery complications.
- Analysis of factors contributing to adverse events.
- Discussion of management protocols.
Main Results:
- Identified key complications: CSF leak, bleeding, stroke, meningitis, cranial nerve deficits, and recurrence.
- Outlined predisposing factors and preventative measures.
- Detailed management approaches for specific complications.
Conclusions:
- Effective management of skull base surgery requires understanding and mitigating common complications.
- Proactive prevention and tailored treatment are crucial for minimizing morbidity.