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Postoperative management following endoscopic skull base surgery.
Current Opinion in Otolaryngology & Head and Neck Surgery ( IF 1.9 ) Pub Date : 2024-09-12 , DOI: 10.1097/moo.0000000000001010 Domen Vozel,Jure Urbančič
Current Opinion in Otolaryngology & Head and Neck Surgery ( IF 1.9 ) Pub Date : 2024-09-12 , DOI: 10.1097/moo.0000000000001010 Domen Vozel,Jure Urbančič
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.
中文翻译:
内窥镜颅底手术后的术后管理。
综述目的 本意见的目的是回顾有关内窥镜颅底手术后术后管理的当前证据。最近的发现术后管理包括考虑护理水平、实验室检查、镇痛和止吐治疗、抗生素、抗血栓形成和抗癫痫预防、药物和非药物脑脊液 (CSF) 减压措施,包括 CSF 转移、活动限制、鼻填塞去除、鼻腔清创和厕所、鼻腔糖皮质激素给药、正压通气、影像学检查、脑脊液泄漏诊断和未来观点。摘要 尽管在内窥镜颅底手术后的术后措施研究方面投入了大量精力,但实践存在异质性,缺乏高水平的研究,这将使有力的系统评价和荟萃分析成为可能。
更新日期:2024-09-12
中文翻译:
内窥镜颅底手术后的术后管理。
综述目的 本意见的目的是回顾有关内窥镜颅底手术后术后管理的当前证据。最近的发现术后管理包括考虑护理水平、实验室检查、镇痛和止吐治疗、抗生素、抗血栓形成和抗癫痫预防、药物和非药物脑脊液 (CSF) 减压措施,包括 CSF 转移、活动限制、鼻填塞去除、鼻腔清创和厕所、鼻腔糖皮质激素给药、正压通气、影像学检查、脑脊液泄漏诊断和未来观点。摘要 尽管在内窥镜颅底手术后的术后措施研究方面投入了大量精力,但实践存在异质性,缺乏高水平的研究,这将使有力的系统评价和荟萃分析成为可能。