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Updated: Jun 11, 2025

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Postoperative management following endoscopic skull base surgery
Domen Vozel1,2, Jure Urbančič1,2
1Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana.
Purpose Of Review:
The purpose of this opinion is to review current evidence regarding postoperative management following endoscopic skull base surgery.
Recent Findings:
Postoperative management encompasses consideration of level of care, laboratory tests, analgetic and antiemetic therapy, antibiotic, antithrombotic and antiepileptic prophylaxis, pharmacological and nonpharmacological cerebrospinal fluid (CSF) pressure reduction measures, including CSF diversion, activity restrictions, nasal packing removal, nasal debridement and toilet, nasal glucocorticoid administration, positive pressure ventilation, imaging, CSF leak diagnosis, and future perspectives.
Summary:
Although significant effort has been put into research of postoperative measures after endoscopic skull-base surgery, there is a heterogeneity of practices and deficit of high-level studies, which would enable highly powered systematic reviews and meta-analyses.
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