Skull Base Surgery
Skull base surgery is a sophisticated procedure aimed at removing tumors, lesions, or abnormalities located at the base of the skull, an area situated between the brain and the upper neck. This surgery demands a highly skilled neurosurgeon due to the intricate structures involved, including the brainstem, cranial nerves, and major blood vessels. It can be performed using traditional open techniques or minimally invasive methods, such as endoscopic surgery. Depending on the specific case, patients may also need radiation therapy or chemotherapy following the surgery.
About Skull Base Surgery
Skull base surgery can be performed using two primary techniques: minimally invasive (endoscopic) and open (conventional) surgery. The choice of technique depends on the tumor’s nature and location.
Minimally Invasive or Endoscopic Skull Base Surgery: This approach typically avoids large incisions. Instead, a small opening is made inside the nose, allowing the neurosurgeon to remove the tumor using an endoscope, a narrow tube equipped with a light.
Open or Conventional Skull Base Surgery: This method may require incisions in the skull and facial area. Surgeons might need to remove sections of bone to access and excise the tumor.
Procedure of Skull Base Surgery
Minimally Invasive Endoscopic Surgical Techniques: Endonasal surgery is often utilized for treating conditions like pituitary tumors. This minimally invasive approach allows access through the nose or behind the ear and is performed collaboratively by neurosurgeons and ear, nose, and throat (ENT) specialists.
Advanced Microscopic, Laser, and Ultrasonic Techniques: These innovative techniques are employed for specific tumors deeply embedded at the skull base. For instance, lasers can facilitate the removal of malignant tumors while minimizing complications and protecting surrounding healthy brain and nerve tissues.
Restorative and Reconstructive Facial and Skull Base Surgery: The surgical team is dedicated to restoring both functional and aesthetic health. Techniques such as microvascular reconstruction, nerve and muscle grafting, facial reanimation, and soft tissue repair are crucial for patient recovery and overall treatment success.
Open Skull Surgery: In cases where it’s necessary, surgeons may perform open skull surgery, requiring incisions on the face or skull. This technique may involve removing a portion of bone to access the tumor. Advanced imaging techniques are often employed to assist in the procedure.