BACKGROUND: Nasal morbidity following skull base surgery necessitates follow-up for postoperative care. We describe nasal morbidity following endoscopic skull base surgery. METHODS: Patient and operative data and postoperative subjective and objective measures of morbidity were prospectively collected for 1 year. Time to absence of crusting and remucosalization were determined. Risk factor analyses for crusting and nasal discharge were performed. RESULTS: Nasal crusting (98%) and discharge (46%) were the most common postoperative symptoms. Median time to absence of crusting was 101.0 days, with longer times for complex cases (p = .033) but not for patients with septal flaps or fat grafts. Median time to remucosalization after nasoseptal flap was 89.0 days. There were no risk factors for crusting, although surgical complexity was a risk factor for postoperative discharge (odds ratio [OR] = 5.17). CONCLUSIONS: Nasal morbidity following endoscopic skull base surgery is common and may be affected by surgical complexity and use of the nasoseptal flap.
BACKGROUND: Nasal morbidity following skull base surgery necessitates follow-up for postoperative care. We describe nasal morbidity following endoscopic skull base surgery. METHODS:Patient and operative data and postoperative subjective and objective measures of morbidity were prospectively collected for 1 year. Time to absence of crusting and remucosalization were determined. Risk factor analyses for crusting and nasal discharge were performed. RESULTS: Nasal crusting (98%) and discharge (46%) were the most common postoperative symptoms. Median time to absence of crusting was 101.0 days, with longer times for complex cases (p = .033) but not for patients with septal flaps or fat grafts. Median time to remucosalization after nasoseptal flap was 89.0 days. There were no risk factors for crusting, although surgical complexity was a risk factor for postoperative discharge (odds ratio [OR] = 5.17). CONCLUSIONS: Nasal morbidity following endoscopic skull base surgery is common and may be affected by surgical complexity and use of the nasoseptal flap.
Authors: Ellen Ten Dam; Astrid G W Korsten-Meijer; Rutger H Schepers; Wicher J van der Meer; Peter O Gerrits; Bernard F A M van der Laan; Robert A Feijen Journal: Eur Arch Otorhinolaryngol Date: 2014-10-31 Impact factor: 2.503
Authors: Guillermo Maza; Chengyu Li; Jillian P Krebs; Bradley A Otto; Alexander A Farag; Ricardo L Carrau; Kai Zhao Journal: Int Forum Allergy Rhinol Date: 2018-11-29 Impact factor: 3.858
Authors: Andrew S Little; Heidi Jahnke; Peter Nakaji; John Milligan; Kristina Chapple; William L White Journal: Pituitary Date: 2012-12 Impact factor: 4.107
Authors: Christopher M Yao; Alyssa Kahane; Eric Monteiro; Fred Gentili; Gelareh Zadeh; John R de Almeida Journal: J Neurol Surg B Skull Base Date: 2017-02-17
Authors: John R de Almeida; Allan D Vescan; Ian J Witterick; Patrick J Gullane; Fred Gentili; Jolie Ringash; Achilles Thoma; Lynne Lohfeld Journal: J Neurol Surg B Skull Base Date: 2014-11-06