TY - JOUR
T1 - Quality of Life Outcomes and Approach-Specific Morbidities in Endoscopic Endonasal Skull Base Surgery
AU - Rowan, Nicholas R.
AU - Mukherjee, Debraj
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2020/6
Y1 - 2020/6
N2 - Purpose of Review: Endoscopic endonasal skull base surgery (EESBS) has many advantages compared with traditional approaches. Recently, there is an increasing focus on patient-centered, quality of life (QOL), and approach-specific outcomes. This review seeks to illuminate our current understanding and knowledge gaps in EESBS-specific QOL outcomes. Recent Findings: In an effort to capture the most relevant QOL implications for patients undergoing EESBS, three comprehensive, validated, QOL instruments have been created. These instruments are often supplemented by sinonasal-specific outcome measures, given the potentially significant sinonasal repercussions incurred with the use of the endonasal corridor. To date, most EESBS QOL investigations include patients with sellar-based pathology, though series with patients undergoing more extensive approaches are emerging. Summary: Generally, patients experience transient postoperative worsening of skull base– and sinonasal-specific QOL. Larger series, with validated QOL outcome measures, are needed to better understand patient outcomes and the morbidities of EESBS, especially those that relate to olfaction and surgery beyond the sella.
AB - Purpose of Review: Endoscopic endonasal skull base surgery (EESBS) has many advantages compared with traditional approaches. Recently, there is an increasing focus on patient-centered, quality of life (QOL), and approach-specific outcomes. This review seeks to illuminate our current understanding and knowledge gaps in EESBS-specific QOL outcomes. Recent Findings: In an effort to capture the most relevant QOL implications for patients undergoing EESBS, three comprehensive, validated, QOL instruments have been created. These instruments are often supplemented by sinonasal-specific outcome measures, given the potentially significant sinonasal repercussions incurred with the use of the endonasal corridor. To date, most EESBS QOL investigations include patients with sellar-based pathology, though series with patients undergoing more extensive approaches are emerging. Summary: Generally, patients experience transient postoperative worsening of skull base– and sinonasal-specific QOL. Larger series, with validated QOL outcome measures, are needed to better understand patient outcomes and the morbidities of EESBS, especially those that relate to olfaction and surgery beyond the sella.
KW - Endoscopic endonasal skull base surgery
KW - Olfaction
KW - Pituitary
KW - Quality of life
KW - Sinonasal morbidity
KW - Skull base
UR - http://www.scopus.com/inward/record.url?scp=85100613290&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85100613290&partnerID=8YFLogxK
U2 - 10.1007/s40136-020-00286-7
DO - 10.1007/s40136-020-00286-7
M3 - Review article
AN - SCOPUS:85100613290
SN - 2167-583X
VL - 8
SP - 160
EP - 169
JO - Current Otorhinolaryngology Reports
JF - Current Otorhinolaryngology Reports
IS - 2
ER -