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Neurosurgical Otolarynology II: Endoscopic Skull Base and Pituitary Surgery

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Anesthesiology and Otolaryngology

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Abstract

Successful endoscopic surgery of the skull base requires a rigorous understanding and comfort level with the surgical anatomy of the paranasal sinuses and adjacent vital structures including the orbit, optic nerve, carotid artery, cavernous sinus, and meninges. Since these structures are often protected by a thin barrier of mucosa-covered bone that may be violated by inflammation, neoplasm, or trauma, every case requires comprehensive presurgical imaging and planning. Anesthesiologists must also respect these unique anatomic relationships, as a surgery that is “going well” may quickly turn difficult in an area where the margin for error is small. Continued and effective communication between anesthesiology and surgical teams throughout the perioperative period helps ensure a safe and efficient surgical experience for the patient.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10128, USA

    Stacie G. Deiner

  2. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10029, USA

    Kalmon D. Post

  3. Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1191, A5 East 98th Street, 8th Floor, New York, NY, 10029, USA

    Satish Govindaraj

Authors
  1. Stacie G. Deiner
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  2. Kalmon D. Post
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  3. Satish Govindaraj
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Corresponding author

Correspondence to Satish Govindaraj .

Editor information

Editors and Affiliations

  1. Otolaryngology, and, Structural & Chemical Biology, Department of Anesthesiology,, The Mount Sinai School of Medicine, New York, 10029, New York, USA

    Adam I. Levine

  2. Head and Neck Surgery, Department of Otolaryngology -, The Mount Sinai Medical Center, New York, 10029, New York, USA

    Satish Govindaraj

  3. Department of Anesthesiology, The Mount Sinai School of Medicine, New York, 10029, New York, USA

    Samuel DeMaria, Jr.

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Deiner, S.G., Post, K.D., Govindaraj, S. (2013). Neurosurgical Otolarynology II: Endoscopic Skull Base and Pituitary Surgery. In: Levine, A., Govindaraj, S., DeMaria, Jr., S. (eds) Anesthesiology and Otolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4184-7_18

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  • DOI: https://doi.org/10.1007/978-1-4614-4184-7_18

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