内镜颅底手术的围手术期注意事项
Perioperative Considerations in Endoscopic Skull Base Surgery.
作者信息
Hussaini Adnan S, Clark Christine M, DeKlotz Timothy R
机构信息
Department of Otolaryngology, Head and Neck Surgery, Medstar Georgetown University Hospital, 3800 Reservoir Rd. NW, Gorman Building, 1st Floor, Washington, DC, 20007 USA.
出版信息
Curr Otorhinolaryngol Rep. 2020;8(2):129-135. doi: 10.1007/s40136-020-00278-7. Epub 2020 Mar 19.
PURPOSE OF THE REVIEW
Present an overview of perioperative considerations specific to endoscopic skull base surgery necessary to maximize successful outcomes.
RECENT FINDINGS
The majority of perioperative considerations for endoscopic skull base surgery lack strong supporting evidence and frequently have varied use or implementation amongst institutions. A notable exception comes from a recent randomized controlled trial demonstrating the benefit of lumbar drainage in high-risk cerebrospinal fluid leaks.
SUMMARY
Skull base surgeons must consider a multitude of perioperative factors. While many components of perioperative management are extrapolated from related fields such as endoscopic sinus surgery or open cranial base surgery, additional high-quality studies are needed to delineate best practices specific to endoscopic skull base surgery.
综述目的
概述内镜颅底手术特有的围手术期注意事项，以最大限度地提高手术成功率。
最新发现
内镜颅底手术的大多数围手术期注意事项缺乏有力的支持证据，且各机构之间的使用或实施情况常常各不相同。一个显著的例外是最近一项随机对照试验，该试验证明了腰大池引流在高危脑脊液漏中的益处。
总结
颅底外科医生必须考虑众多围手术期因素。虽然围手术期管理的许多组成部分是从相关领域（如内镜鼻窦手术或开放颅底手术）推断而来的，但仍需要更多高质量的研究来确定内镜颅底手术特有的最佳实践。
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