Neurosurgical Otolarynology II: Endoscopic Skull Base and Pituitary Surgery

  • Stacie G. Deiner
  • Kalmon D. Post
  • Satish Govindaraj


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.


Skull Base Sphenoid Sinus Acromegalic Patient Pituitary Surgery Nasal Packing 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Stacie G. Deiner
    • 1
  • Kalmon D. Post
    • 2
  • Satish Govindaraj
    • 3
  1. 1.Department of AnesthesiologyIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Department of NeurosurgeryIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Department of Otolaryngology – Head and Neck SurgeryIcahn School of Medicine at Mount SinaiNew YorkUSA

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