Purpose of the review: Present an overview of perioperative considerations specific to endoscopic skull base surgery necessary to maximize successful outcomes.
Recent findings: The majority of perioperative considerations for endoscopic skull base surgery lack strong supporting evidence and frequently have varied use or implementation amongst institutions. A notable exception comes from a recent randomized controlled trial demonstrating the benefit of lumbar drainage in high-risk cerebrospinal fluid leaks.
Summary: Skull base surgeons must consider a multitude of perioperative factors. While many components of perioperative management are extrapolated from related fields such as endoscopic sinus surgery or open cranial base surgery, additional high-quality studies are needed to delineate best practices specific to endoscopic skull base surgery.
Keywords: Antibiotics; Endoscopic; Lumbar drain; Perioperative; Skull base surgery.
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