Complications in Skull Base Surgery for Malignancy

Donald, Paul J.

doi:10.1097/00005537-199912000-00012

Cited by 72 publications

(82 citation statements)

References 7 publications

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“…First, many of these patients have intracranial extension of their tumor (ie, the patients are prone to brain injury during surgery and subsequently to cognitive dysfunction). 10 Second, the medical treatment of these patients necessitates extensive surgical intervention, prolonged hospitalization, and long periods of rehabilitation. Third, many of these patients require multiple surgical treatments.…”

Section: Arch Otolaryngol Head Neckmentioning

confidence: 99%

Patient, Caregiver, and Surgeon Perceptions of Quality of Life Following Anterior Skull Base Surgery

Gil¹,

Abergel²,

Spektor³

et al. 2004

Arch Otolaryngol Head Neck Surg

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To estimate the agreement between surgeons' and lay caregivers' quality-of-life (QOL) perceptions of patients undergoing major skull base surgery.Design: Cohort survey of patients who had undergone anterior skull base tumor excision.Setting: University-affiliated medical center.Participants: Thirty-five patients and their lay caregivers participated in the study. Main Outcome Measures:A triple survey was performed: each patient and his or her caregiver were asked to answer 35 questions related to 6 distinct QOL domains: role of performance, physical function, vitality, pain, specific symptoms, and effect on emotions. The composite health-related QOL of the patients was also rated on an ordinal scale by 3 surgeons who participated in the operation and follow-up.Results: An overall significant agreement was found between patients' and caregivers' scores at the group level (mean scores of each domain) and individual level (patient-caregiver pairs) (r = 0.76, PϽ.001).There was a minor correlation in the effect on emotions domain and no correlation in the pain domain. We found no correlation between the surgeons' and patients' ratings. The operating surgeons tended to overate their patients' QOL. Conclusions:The study results show that the surgeon's perception of his or her patient's QOL is not sufficiently accurate to correctly estimate patients' QOL status. These judgments should come from the patient or from the caregiver, whose perception can be used in clinical trials as a proxy for estimation of a patient's QOL.

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Section: Arch Otolaryngol Head Neckmentioning

confidence: 99%

Patient, Caregiver, and Surgeon Perceptions of Quality of Life Following Anterior Skull Base Surgery

Gil¹,

Abergel²,

Spektor³

et al. 2004

Arch Otolaryngol Head Neck Surg

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“…Lumbar drainage has been advocated by cranial base surgeons to divert CSF to minimize the force required for frontal lobe retraction intraoperatively as well as to potentially decrease CSF leak rates postoperatively with prolonged usage by minimizing CSF egress through the defect, allowing it to heal. 2,5,6,17 However, the literature also cites numerous instances of TP complicating skull base surgery in which continuous lumbar drainage was used. 17,20 After a skull base defect is created, continuous lumbar drainage may promote the ingress of air through the skull base dural defect by creating a relatively lower pressure than the atmospheric pressure in the subarachnoid space.…”

Section: Discussionmentioning

confidence: 99%

Immediate complications associated with high-flow cerebrospinal fluid egress during endoscopic endonasal skull base surgery

Kerr

Prevedello

Jamshidi

et al. 2014

FOC

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Endoscopic expanded endonasal approaches (EEAs) to the skull base are increasingly being used to address a variety of skull base pathologies. Postoperative CSF leakage from the large skull base defects has been well described as one of the most common complications of EEAs. There are reports of associated formation of delayed subdural hematoma and tension pneumocephalus from approximately 1 week to 3 months postoperatively. However, there have been no reports of immediate complications of high-volume CSF leakage from EEA skull base surgery. The authors describe two cases of EEAs in which complications related to rapid, large-volume CSF egress through the skull base surgical defect were detected in the immediate postoperative period. Preventive measures to reduce the likelihood of these immediate complications are presented.

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“…Przyjmują oni różną definicję powikłania, a czasami w ogóle nie definiują tego zjawiska [1]. Badania przeprowadzone są na pacjentach w różnych okresach czasowych, obejmują różne grupy pacjentów, które z racji wyboru trudniejszego obszaru działania chirurgicznego, na przykład na podstawie czaszki, są bardziej narażone na wystąpienie powikłań ogólnych [35,40].…”

Section: Powikłania I Zgony -Część Ogólnaunclassified

“…W naszym materiale powikłanie to rozpoznaliśmy w 7 przypadkach (0,5%), w tym jeden był wynikiem zachłyśnięcia się kwaśną treścią żołądkową podczas indukcji znieczulenia. W piśmiennic-twie anglojęzycznym powikłanie to stwierdzano w 1,4-25% [5,7,17,20,40,50,51,54,64,77,87,125,156,158,183,204,218], podobnie w polskim: od 1,6% w materiale Gryczyńskiego i wsp., poprzez 3,1% u Szymańskiej-Skrzypczak i wsp. do 4,5% u Pajor i wsp.…”

Section: Powikłania Ze Strony Układu Oddechowegounclassified

Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

Sierszeń¹

2011

Otolaryngologia Polska

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Complications in Skull Base Surgery for Malignancy

Abstract: patients who had cranial base surgery for the intracranial spread of head and neck cancer. The perioperative death rate is less than 4%. The major complications were at an acceptable rate.

Cited by 72 publications

References 7 publications

Patient, Caregiver, and Surgeon Perceptions of Quality of Life Following Anterior Skull Base Surgery

Patient, Caregiver, and Surgeon Perceptions of Quality of Life Following Anterior Skull Base Surgery

Immediate complications associated with high-flow cerebrospinal fluid egress during endoscopic endonasal skull base surgery

Powikłania ogólne operacji nowotworów złośliwych głowy i szyi

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