The State of Lateral Skull Base Surgery Training in North America: A Survey of the North American Skull Base Society

2019 ◽  
Author(s):  
Neil Patel ◽  
Jamie Van Gompel ◽  
Nicole Tombers ◽  
Michael Link ◽  
Matthew Carlson
Keyword(s):  
North America ◽  
Skull Base ◽  
North American ◽  
Skull Base Surgery ◽  
The State ◽  
Surgery Training ◽  
The North ◽  
Lateral Skull Base

Antibiotic Use in Lateral Skull Base Surgery: A Survey of the North American Skull Base Society

2021 ◽  
Author(s):  
Kevin L. Li ◽  
Christina H. Fang ◽  
Vivian S. Hawn ◽  
Vijay Agarwal ◽  
Varun R. Kshretty ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Skull Base ◽  
North American ◽  
Skull Base Surgery ◽  
Antibiotic Use ◽  
Regression Modeling ◽  
Bivariate Analysis ◽  
Logistic Regression Modeling ◽  
The North ◽  
Lateral Skull Base

Abstract Objectives Antibiotic use in lateral skull base surgery (LSBS) has not been thoroughly investigated in the literature. There is wide variability in antibiotic use and insufficient data to guide management. This study aims to describe the factors and patterns influencing antibiotic use in LSBS among the membership of the North American Skull Base Society (NASBS). Design An online-based survey was designed and distributed to the membership of the NASBS. Data was analyzed using bivariate analysis and logistic regression modeling. Setting Online-based questionnaire. Participants NASBS membership. Main Outcome Measures Use of intraoperative antibiotics and use of postoperative antibiotics. Results The survey response rate was 26% (208 respondents). Of the 208 total respondents, 143 (69%) respondents performed LSBS. Most respondents are neurosurgeons (69%) with the remaining being otolaryngologists (31%). The majority of respondents (79%) are fellowship-trained in skull base surgery. Academic or government physicians make up 69% of respondents and 31% are in private practice with or without academic affiliations. Bivariate analysis showed that practice setting significantly influenced intraoperative antibiotic use (p = 0.01). Geographic location significantly affected postoperative antibiotic use (p = 0.01). Postoperative antibiotic duration was significantly affected by presence of chronic otitis media, cerebrospinal fluid leak, and surgeon training (p = 0.02, p = 0.01, and p = 0.006, respectively). Logistic regression modeling showed that the motivation to reduce infection significantly impacted postoperative antibiotic use (p = 0.03). Conclusion This study demonstrates significant variations in intraoperative and postoperative antibiotic use in LSBS among the NASBS membership. Appropriate guidelines for optimal perioperative antibiotic use patterns should be determined with randomized studies in the future.

Antibiotic Use in Lateral Skull Base Surgery: A Survey of the North American Skull Base Society

2020 ◽  
Author(s):  
K. L. Li ◽  
C. H. Fang ◽  
V. S. Hawn ◽  
V. Agarwal ◽  
V. R. Kshettry ◽  
...  
Keyword(s):  
Skull Base ◽  
North American ◽  
Skull Base Surgery ◽  
Antibiotic Use ◽  
The North ◽  
Lateral Skull Base

Endoscopic Skull Base Surgery Practice Patterns: Survey of the North American Skull Base Society

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Pete Batra ◽  
Jivianne Lee ◽  
Samuel Barnett ◽  
Brent Senior ◽  
Michael Setzen ◽  
...  
Keyword(s):  
Skull Base ◽  
North American ◽  
Practice Patterns ◽  
Skull Base Surgery ◽  
Endoscopic Skull Base Surgery ◽  
The North

scholarly journals A Cross-Sectional Survey of the North American Skull Base Society Part 3: The State of Lateral Skull Base Surgery Training in North America

2018 ◽  
Vol 80 (04) ◽  
pp. 399-415
Author(s):  
Neil S. Patel ◽  
Jamie J. Van Gompel ◽  
Nicole M. Tombers ◽  
Michael J. Link ◽  
Matthew L. Carlson
Keyword(s):  
Decision Making ◽  
North America ◽  
Skull Base ◽  
North American ◽  
Training Programs ◽  
Case Volume ◽  
Cross Sectional ◽  
Training Requirements ◽  
The North ◽  
Fellowship Programs

Introduction Optimal management of vestibular schwannoma (VS) demands involvement of an experienced multidisciplinary team. As the number of training programs in neurotology and skull base neurosurgery continues to rise, ensuring that trainees are capable of evidence-based decision-making and treatment, whether microsurgical or radiosurgical, is of paramount importance. The purpose of this study is to characterize the landscape of neurotologic and neurosurgical fellowship training programs in North America, with special reference to VS management. Methods A 64-item web-based survey assessing VS practice trends was devised by members of the North American Skull Base Society (NASBS) Research Task Force and distributed electronically to NASBS membership via SurveyMonkey as a cross-sectional study. Participation was entirely voluntary and there was no remuneration for survey completion. The survey link was active from November 29 to December 14, 2016. Results Of 719 members of the NASBS who were emailed a survey link, a total of 57 were returned (8%) completed surveys. Of all respondents, 51 (89%) claimed to have formal training in skull base neurosurgery or neurotology. Thirty-three respondents (65%) were skull base neurosurgeons while the remainder were neurotologists (n = 18; 35%). Institutions with fellowship programs tended to have a higher surgical, radiosurgical, and overall case volume than those with a residency program alone. However, 20% of respondents at institutions with fellowship programs reported evaluating less than 50 new diagnoses of VS per year and 12% reported a surgical case volume of less than 10 cases per year. Conclusion As the number of skull base training programs expands, it is our duty to ensure that trainees gain sufficient experience to enter independent practice with the ability to exercise informed decision-making and safely perform VS surgery and radiosurgery. In the current training climate, implementing multidisciplinary care models, formalized training requirements, and emerging surgical simulators will support the development of minimum proficiencies in VS care.

Endoscopic skull base surgery practice patterns: survey of the North American Skull Base Society

2013 ◽  
Vol 3 (8) ◽  
pp. 659-663 ◽  
Author(s):  
Pete S. Batra ◽  
Jivianne Lee ◽  
Samuel L. Barnett ◽  
Brent A. Senior ◽  
Michael Setzen ◽  
...  
Keyword(s):  
Skull Base ◽  
North American ◽  
Practice Patterns ◽  
Skull Base Surgery ◽  
Endoscopic Skull Base Surgery ◽  
The North

Perioperative management in endoscopic endonasal skull-base surgery: a survey of the North American Skull Base Society

2017 ◽  
Vol 8 (5) ◽  
pp. 631-640 ◽  
Author(s):  
Christopher R. Roxbury ◽  
Brian C. Lobo ◽  
Varun R. Kshettry ◽  
Brian D'Anza ◽  
Troy D. Woodard ◽  
...  
Keyword(s):  
Skull Base ◽  
North American ◽  
Perioperative Management ◽  
Skull Base Surgery ◽  
Endoscopic Endonasal ◽  
The North

scholarly journals Antibiotic prophylaxis in anterior skull‐base surgery: a survey of the North American Skull Base Society

2019 ◽  
Vol 9 (10) ◽  
pp. 1196-1204 ◽  
Author(s):  
Christina H. Fang ◽  
Vivian S. Hawn ◽  
Vijay Agarwal ◽  
Howard S. Moskowitz ◽  
Varun R. Kshettry ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Skull Base ◽  
North American ◽  
Skull Base Surgery ◽  
Anterior Skull Base ◽  
The North
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