Complications of Skull Base Surgery

Abstract

Approaches to surgical management of skull base pathology and reconstruction of skull base defects have evolved over the past several decades. The goal, however, remains the same—to effectively address the pathology with minimal complications. In this article, the authors try to explore multiple complications of skull base surgery, discussing their incidence, natural course, and prevention. This will prove beneficial in optimal management of patients with a myriad of skull base disorders.

Keywords

skull base reconstruction - complications

• References

• 1 Dandy WE. Results following the transcranial operative attack on orbital tumors. Arch Ophthalmol 1941; 25 (02) 191-216 . doi:10.1001/archopht.1941.00870080015001
• 2 Ray BS, McLean JM. Combined intracranial and orbital operation for retinoblastoma. Arch Ophthalmol 1943; 30 (04) 437-445
• 3 Ketcham AS, Wilkins RH, Vanburen JM, Smith RR. A combined intracranial facial approach to the paranasal sinuses. Am J Surg 1963; 106: 698-703
• 4 Ketcham AS, Hoye RC, Van Buren JM, Johnson RH, Smith RR. Complications of intracranial facial resection for tumors of the paranasal sinuses. Am J Surg 1966; 112 (04) 591-596
• 5 Yuen AP, Fan YW, Fung CF, Hung KN. Endoscopic-assisted cranionasal resection of olfactory neuroblastoma. Head Neck 2005; 27 (06) 488-493
• 6 Stammberger H, Anderhuber W, Walch C, Papaefthymiou G. Possibilities and limitations of endoscopic management of nasal and paranasal sinus malignancies. Acta Otorhinolaryngol Belg 1999; 53 (03) 199-205
• 7 Batra PS, Citardi MJ, Worley S, Lee J, Lanza DC. Resection of anterior skull base tumors: comparison of combined traditional and endoscopic techniques. Am J Rhinol 2005; 19 (05) 521-528
• 8 Kryzanski JT, Annino DJ, Gopal H, Heilman CB. Low complication rates of cranial and craniofacial approaches to midline anterior skull base lesions. Skull Base 2008; 18 (04) 229-241
• 9 Catalano PJ, Hecht CS, Biller HF. , et al. Craniofacial resection. An analysis of 73 cases. Arch Otolaryngol Head Neck Surg 1994; 120 (11) 1203-1208
• 10 Dias FL, Sá GM, Kligerman J. , et al. Complications of anterior craniofacial resection. Head Neck 1999; 21 (01) 12-20
• 11 Naunheim MR, Sedaghat AR, Lin DT. , et al. Immediate and Delayed Complications Following Endoscopic Skull Base Surgery. J Neurol Surg B Skull Base 2015; 76 (05) 390-396
• 12 Choby GW, Mattos JL, Hughes MA. , et al. Delayed nasoseptal flaps for endoscopic skull base reconstruction: proof of concept and evaluation of outcomes. Otolaryngol Head Neck Surg 2015; 152 (02) 255-259
• 13 Emanuelli E, Milanese L, Rossetto M. , et al. The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly. Clin Neurol Neurosurg 2015; 132: 21-25
• 14 Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH. Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele: a systematic review of outcomes. J Neurol Surg A Cent Eur Neurosurg 2013; 74 (04) 239-250
• 15 Wheless SA, McKinney KA, Carrau RL. , et al. Nasoseptal flap closure of traumatic cerebrospinal fluid leaks. Skull Base 2011; 21 (02) 93-98
• 16 Smith JE, Ducic Y, Adelson RT. Temporalis muscle flap for reconstruction of skull base defects. Head Neck 2010; 32 (02) 199-203
• 17 Califano J, Cordeiro PG, Disa JJ. , et al. Anterior cranial base reconstruction using free tissue transfer: changing trends. Head Neck 2003; 25 (02) 89-96
• 18 Gun R, Tosun F, Durmaz A. , et al. Predictors of surgical approaches for the repair of anterior cranial base encephaloceles. Eur Arch Otorhinolaryngol 2013; 270 (04) 1299-1305
• 19 Goyal P, Kellman RM, Tatum III SA. Transglabellar subcranial approach for the management of nasal masses with intracranial extension in pediatric patients. Arch Facial Plast Surg 2007; 9 (05) 314-317
• 20 Mahapatra AK. Anterior encephalocele - AIIMS experience a series of 133 patients. J Pediatr Neurosci 2011; 6 (Suppl. 01) S27-S30
• 21 Zweig JL, Carrau RL, Celin SE, Snyderman CH, Kassam A, Hegazy H. Endoscopic repair of acquired encephaloceles, meningoceles, and meningo-encephaloceles: predictors of success. Skull Base 2002; 12 (03) 133-139
• 22 Mattox DE, Kennedy DW. Endoscopic management of cerebrospinal fluid leaks and cephaloceles. Laryngoscope 1990; 100 (08) 857-862
• 23 Anantheswar YN, Venkataramana NK. Pediatric craniofacial surgery for craniosynostosis: Our experience and current concepts: Part -1. J Pediatr Neurosci 2009; 4 (02) 86-99
• 24 Anantheswar YN, Venkataramana NK. Pediatric craniofacial surgery for craniosynostosis: our experience and current concepts: parts -2. J Pediatr Neurosci 2009; 4 (02) 100-107
• 25 Dhepnorrarat RC, Subramaniam S, Sethi DS. Endoscopic surgery for fronto-ethmoidal mucoceles: a 15-year experience. Otolaryngol Head Neck Surg 2012; 147 (02) 345-350
• 26 Kristof RA, Rother M, Neuloh G, Klingmüller D. Incidence, clinical manifestations, and course of water and electrolyte metabolism disturbances following transsphenoidal pituitary adenoma surgery: a prospective observational study. J Neurosurg 2009; 111 (03) 555-562