Upright CT-based evaluation of the effects of posture on skull-base reconstruction after endoscopic endonasal surgery.

ABSTRACT: Cerebrospinal fluid (CSF) leakage is a common complication associated with endoscopic endonasal skull-base surgery (EESBS). Postoperative mobilization-associated postural changes are considered to cause CSF leakage. However, no study has demonstrated a robust relationship between postural changes and CSF leakage. We used upright computed tomography (CT) to clarify the effects of postural changes on the reconstructed skull base (RSB) after EESBS. Thirty patients who underwent EESBS at our institution were prospectively included, and their upright and supine CTs were compared to measure morphological changes in the RSB. Patient clinical data were also collected from medical charts and surgical videos, and their relationships with morphological changes were assessed. In upright CTs, the RSB s

SUBMITTER: Takahara K 

PROVIDER: S-EPMC11366744 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature