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Perioperative Analgesia in Cranial and Skull Base Surgery

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Perioperative Pain Control: Tools for Surgeons

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Abstract

This chapter examines the approach to management of perioperative analgesia in cranial and skull base surgeries. The controversy of pain management in cranial surgery dates back many years, and current trends in the literature are discussed including further addressing previously underrecognized pain and a drive toward the use of multimodal and non-opioid modalities. The use of scalp blockade and systemic therapies in cranial surgery are discussed. The approach to the skull base has evolved drastically in the last few decades, evolving into minimally invasive techniques that have reduced morbidity and consequently pain burden. Given the diversity of these procedures and the numerous subspecialties involved, it is not surprising that there is a need for further high-quality procedure-specific randomized controlled trials and systematic evidence-based reviews on perioperative analgesia in cranial and skull base surgeries. The current status of training in perioperative pain management in otolaryngology and neurosurgical residents also remains to be elucidated.

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Author information

Authors and Affiliations

  1. Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA

    Khashayar Arianpour

  2. Oakland University William Beaumont School of Medicine, Rochester, MI, USA

    Meredith Allen & Adam J. Folbe

  3. Rutgers New Jersey Medical School Department of Otolaryngology, Newark, NJ, USA

    Peter Ashman

Authors
  1. Khashayar Arianpour
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  2. Meredith Allen
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  3. Peter Ashman
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  4. Adam J. Folbe
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Corresponding author

Correspondence to Khashayar Arianpour .

Editor information

Editors and Affiliations

  1. Bergen Medical Associates, Emerson, NJ, USA

    Peter F. Svider

  2. Anesthesiology, Pain Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Anna A. Pashkova

  3. Otolaryngology – Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Andrew P. Johnson

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Arianpour, K., Allen, M., Ashman, P., Folbe, A.J. (2021). Perioperative Analgesia in Cranial and Skull Base Surgery. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_13

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  • DOI: https://doi.org/10.1007/978-3-030-56081-2_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56080-5

  • Online ISBN: 978-3-030-56081-2

  • eBook Packages: MedicineMedicine (R0)

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