Iatrogenic Skull Base Defect Accompanied by Brain Injury After Endoscopic Sinus Surgery: A Report of Two Cases.
| Autor: | Kim T; Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea., Go J; Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea., Yu MS; Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of rhinology : official journal of the Korean Rhinologic Society [J Rhinol] 2023 Jul; Vol. 30 (2), pp. 115-119. Date of Electronic Publication: 2023 Jul 28. |
| DOI: | 10.18787/jr.2023.00021 |
| Abstrakt: | Although iatrogenic skull base injuries after endoscopic sinus surgery (ESS) are rare (overall complication rate, 0.5%), they can be fatal or cause significant morbidity. Conventionally, skull base injuries were repaired using an external approach. However, in recent years, most skull base injuries after ESS have been repaired using an endoscopic transnasal approach due to its lower morbidity, lower risk of postoperative complications, and shorter hospital stay. We report two cases of iatrogenic skull base injury accompanied by brain injury following ESS and describe the skull base repair techniques employed for each case. In both cases, the skull base defects were successfully repaired using an endoscopic transnasal approach, although craniotomy was also performed in the first case to remove bone fragments from the right frontal base and lateral ventricle. Both patients recovered without residual neurologic deficits. Competing Interests: Conflicts of Interest The authors have no potential conflicts of interest to disclose. (Copyright © 2023 by The Korean Rhinologic Society.) |
| Databáze: | MEDLINE |
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