[Perioperative Management of Endoscopic Endonasal Surgery]

Area of Science:

• Neurosurgery
• Otolaryngology
• Skull Base Surgery

Background:

• Endoscopic endonasal surgery (EES) is increasingly used for midline skull base lesions beyond the sella turcica.
• Optimizing perioperative management is crucial for successful EES outcomes.

Purpose of the Study:

• To outline current perioperative management strategies for EES of parasellar and midline skull base lesions.
• To emphasize the importance of preoperative preparation and postoperative complication prevention.

Main Methods:

• Preoperative evaluations including imaging, endocrine, visual, and eye movement assessments.
• Postoperative management focusing on pituitary function, cerebrospinal fluid leakage, meningitis, and nasal complications.
• Strategies for surgical field expansion and skull base reconstruction to minimize complications.

Main Results:

• Meticulous preoperative planning is essential for EES.
• Early detection and management of postoperative complications are critical.
• Specific techniques for surgical expansion and reconstruction aid in reducing adverse events.

Conclusions:

• Comprehensive perioperative care is vital for endoscopic endonasal surgery of skull base lesions.
• Proactive management of potential complications significantly improves patient safety and recovery.
• EES offers a minimally invasive approach with expanding applications in skull base surgery.