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Endoscopic Endonasal Skull Base Surgery Complication Avoidance: A Contemporary Review
Jose L Porras1, Nicholas R Rowan2, Debraj Mukherjee1
1Department of Neurosurgery, The Johns Hopkins University School of Medicine, 600 N Wolfe St., Phipps 124, Baltimore, MD 21287, USA.
Brain Sciences
|December 23, 2022
Summary
The endoscopic endonasal approach (EEA) offers direct access to skull base lesions but carries risks. This review details EEA complications and prevention strategies for surgeons.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skull Base Surgery
Background:
- The endoscopic endonasal approach (EEA) is increasingly used for ventral skull base lesions.
- EEA offers advantages like direct access and avoidance of brain retraction.
Purpose of the Study:
- To review complications associated with the EEA.
- To emphasize the prevention of these complications.
- To identify literature gaps for future research.
Main Methods:
- Literature review of published studies on EEA complications.
- Focus on prevention strategies for identified complications.
Main Results:
- Common EEA complications include CSF leak, cranial nerve dysfunction, pituitary dysfunction, ICA injury, and infection.
- Prevention strategies are crucial for mitigating these risks.
Conclusions:
- Surgeons must be educated on EEA complications and their prevention.
- Further research is needed to address current literature gaps and improve clinical care.
