Quality‐of‐life instruments in endoscopic endonasal skull base surgery—A practical systematic review

Author(s):  
Aishwarya Shukla ◽  
Omar G. Ahmed ◽  
Cinthia P. Orlov ◽  
Carrie Price ◽  
Debraj Mukherjee ◽  
...  
2019 ◽  
Vol 9 (10) ◽  
pp. 1105-1118 ◽  
Author(s):  
Prashant N. Bhenswala ◽  
Rodney J. Schlosser ◽  
Shaun A. Nguyen ◽  
Suqrat Munawar ◽  
Nicholas R. Rowan

2013 ◽  
Vol 75 (02) ◽  
pp. 073-089 ◽  
Author(s):  
Anouk Borg ◽  
Alaa Al-Mousa ◽  
Nikolaos Haliasos ◽  
David Choi ◽  
Matthew Kirkman

2018 ◽  
Vol 79 (S 04) ◽  
pp. S291-S299 ◽  
Author(s):  
Philippe Lavigne ◽  
Daniel Faden ◽  
Eric Wang ◽  
Carl Snyderman

Objective The nasoseptal flap (NSF) is considered the primary vascularized flap for reconstruction of dural defects with endoscopic endonasal surgery (EES) of the skull base. However, the complications and morbidities associated with this reconstructive flap are poorly understood. This article presents a systematic review of the complications and morbidities related to the use of the NSF in skull base surgery. Method A systematic review of the literature based on published guidelines was performed to identify potential complications and morbidities related to the NSF. The MEDLINE and Embase databases were searched from January 1, 1950 to February 5, 2018. Results Twenty-seven articles were identified. Reported complications were as follows: NSF necrosis (4 studies; [0–1.3%]), mucocele formation (5 studies; [0–3.6%]), septal perforation (6 studies, [0–14.4%]), nasal dorsum collapse (2 studies, [0.7–5.8%]), effects on quality of life (QoL) (8 studies), and olfactory loss (11 studies). Conclusion Although complications associated with the NSF may be underreported in the literature, the NSF appears to be a safe and reliable reconstructive flap in EES of the skull base.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Dhaidan M. Alshammari ◽  
Ali Almomen ◽  
Mahmoud Taha ◽  
Hussain Albahrna ◽  
Shorouq Alshammari

Introduction. Endoscopic endonasal skull base surgery (EESBS) has been associated with a minimally invasive and effective approach for pathology of the anterior skull base and associated with less overall morbidity compared with open approaches. However, it is associated with its own potential morbidity related to surgical manipulation or resection of normal and noninflamed intranasal structures to gain adequate access. The assessment of sinonasal QOL (quality of life) postsurgery is therefore a vital aspect in follow-up of these patients. Objectives. To assess quality of life and morbidity after endoscopic endonasal skull base surgery using the Sinonasal Outcomes Test (SNOT-22). Methodology. A single-center retrospective cross-sectional review with a sample of 80–100 patients undergoing endoscopic endonasal transsphenoidal surgery was conducted at the ENT and Neurosurgery departments of King Fahad Specialist Hospital-Dammam (KFSH-D) for a period of 10 years from March 2010 to March 2020. Data were collected through hospital records and database, as well as from patients through phone call interviews. Records were reviewed for diagnosis, demographic features, and 22-item Sinonasal Outcomes Test (SNOT-22) scores noted at three points in time: prior to procedure and after, at 3 months and 6 months. Results. Within the study cohort comprising 96 patients, the mean age of the participants was 39.5 ± 12.1 years, and diagnostic typing before and after histopathological investigations revealed maximum pituitary adenomas (46.9%) closely followed by CSF-related ailments (41.7%). The changes in the mean and standard deviation of the total SNOT-22 scores postoperatively at the 3rd month (9.5 ± 5.4) and the 6th month (8.8 ± 5.2) were statistically significant ( p < 0.001 ) when compared to the preoperative score (10.8 ± 5.1). Conclusion. Although there was a predicted passivity of symptoms in the post-EESBS period, several significant positive outcomes were seen. The increase in discomfort in the sleep domains postsurgery is an issue to pursue and reason out. The overall SNOT-22 scores noted preoperatively and 3 and 6 months postoperatively showed statistically significant improvements in QOL with no long-term effects.


Head & Neck ◽  
2012 ◽  
Vol 35 (9) ◽  
pp. 1221-1231 ◽  
Author(s):  
John R. de Almeida ◽  
Ian J. Witterick ◽  
Patrick J. Gullane ◽  
Fred Gentili ◽  
Lynne Lohfeld ◽  
...  

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
Harshita Pant ◽  
Carl Snyderman ◽  
Amol Bhatki ◽  
Emiro Caicedo ◽  
Ricardo Carrau ◽  
...  

Author(s):  
Fedrico Riva ◽  
Mariana Seoane ◽  
Michael Eduardo Reichenheim ◽  
Georgios Tsakos ◽  
Roger Keller Celeste

Spinal Cord ◽  
2009 ◽  
Vol 48 (6) ◽  
pp. 438-450 ◽  
Author(s):  
M R Hill ◽  
◽  
V K Noonan ◽  
B M Sakakibara ◽  
W C Miller

Sign in / Sign up

Export Citation Format

Share Document