Treatment of pneumocephalus after endoscopic sinus and microscopic skull base surgery

Abstract Background Pneumocephalus is a rare complication of endoscopic sinus surgery (ESS) and microscopic skull base surgery (MSBS). Postoperatively, patients often present with headache and altered mental status. Unrepaired leaks are associated with an increased risk of ascending meningitis. Stan...

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Bibliographic Details
Published in:American journal of otolaryngology 2010-07, Vol.31 (4), p.226-230
Main Authors: DelGaudio, John M., MD, Ingley, Avani P., MD
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Endoscopy - adverse effects
Female
Follow-Up Studies
Humans
Male
Medical imaging
Medical sciences
Medical treatment
Microsurgery - adverse effects
Middle Aged
Neurosurgical Procedures - methods
Otolaryngology
Otorhinolaryngology. Stomatology
Paranasal Sinus Diseases - surgery
Pneumocephalus - diagnosis
Pneumocephalus - etiology
Pneumocephalus - therapy
Postoperative period
Reoperation
Surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Abstract Background Pneumocephalus is a rare complication of endoscopic sinus surgery (ESS) and microscopic skull base surgery (MSBS). Postoperatively, patients often present with headache and altered mental status. Unrepaired leaks are associated with an increased risk of ascending meningitis. Standard treatment of pneumocephalus after ESS or MSBS has not been addressed in the literature. Methods The study involved a retrospective review of patients at an academic tertiary care center with pneumocephalus after ESS or MSBS. Results Ten cases of pneumocephalus were identified, 8 after ESS and 2 after MSBS. Seven ESS defects were very small (
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2009.02.012