Empowering Health: Transformative Solutions in Skull Base Surgery

The greater part of the tumors of the skull base may involve the sinuses the ear or surrounding vascular structures. Bharti ENT Care Hospital has developed expertise in Modern Skull Base Surgery in India. It is carried out in a team consisting of a Neurosurgeon, a Head and Neck surgeon, a Vascular Surgeon, Interventional Radiologist. The team has developed expertise to preserve facial nerve and other cranial nerves.

Endoscopic Pituitary Tumor Removal

This is a minimally invasive surgical procedure carried out through the nose and sinuses using endoscopes, to treat and remove tumors of the pituitary gland of the brain. This is a procedure carried out jointly with the Neurosurgeon. An insignificantly intrusive method, called endoscopic endonasal surgery, utilizes a little entry point at the back of the nasal cavity and causes little disturbance of the nasal tissues. The ENT specialist works through the nostrils with a minor camera and light called an endoscope. In both systems, openings are made in the sphenoid sinus, and sell to reach the pituitary. Once the pituitary is uncovered, the neurosurgeon expels the tumor.

Endoscopic CSF Leak Closure

If there is a hole in the bone and lining (Dura) along the floor of the brain, CSF (Cerebrospinal Fluid) can leak into the nose. A minimally invasive procedure can be performed through the nose to repair this hole, stop the leak, and thus prevent infection. Normally performed under general anesthesia, a specialist will work endoscopically through the nose to recognize the break and repair it utilizing muscle and other tissue from the body. CSF leak surgery does not include cutting through the skin, as it is performed totally through the nostrils. Most patients should remain in the hospital for one to three days after surgery. A few patients may require a lumbar drain that is removed before going home.

Endoscopic Orbit and Optic Nerve Decompression

An endoscopic procedure is carried out through the nose to decompress the eyeball or the optic (Eye) nerve. This is sometimes required to reduce pressure on the eyeball or optic nerve and help treat certain types of visual loss. The objective of optic nerve decompression is to remove a bit of the hard optic channel, in this way removing pressure on the optic nerve. This method is finished with the utilization of endoscopes (Little Inflexible Telescopes), enabling your specialist to experience the nose and sinuses to work in this sensitive surgery with no cuts to the face.

Microscopic Facial Nerve Decompression

The facial nerve that controls the muscles of the face travels through the ear bone. In certain types of facial paralysis, microscopic decompression of the facial nerve is performed to remove pressure on the nerve and allow recovery. By and large, facial nerve decompression is performed through the mastoid bone behind the ear. Bits of the bone are evacuated so that the compressed facial nerve can expand and the pressure that might bring about the loss of facial motion is removed. Contingent upon the individual case, the specialist may carry out the procedure through the middle cranial fossa technique a mastoidectomy, or both.

Glomus Tumor Excision

These are slow-growing benign vascular tumors of the ear and skull base. Of the various options available for their treatment, surgical removal may be one such. These operations are often carried out along with a Neurosurgeon. Fruitful removal of the tumor may likewise require delicate isolation of the tumor from the carotid supply route. This bit of the methodology is to a great degree sensitive and requires the nearby collaboration of the head and neck specialist, ear specialist, and, now and again, vascular and neurosurgeons.

Acoustic Neuroma Removal

These are slow-growing benign tumors of the hearing and balance nerve. Of the various options available for their treatment, surgical removal may be one such. These operations are carried out along with a Neurosurgeon. A neurosurgeon or neuro-otologist can remove acoustic neuromas. The suboccipital approach is performed by a neurosurgeon and the translabyrinthine approach by the Neurotologist. Since every patient and every acoustic neuroma is unique, it is imperative to discuss the treatment that offers the full scope of alternatives, including surgery, radiation, and hearing and facial nerve preservation.

Frequently Asked Questions

Get answers to common questions about skull base surgery, from procedure details to post-operative care, in our concise FAQ section.

Skull base surgery is a specialized procedure aimed at treating conditions affecting the skull base, which supports the brain and separates it from other structures like blood vessels, cranial nerves, nasal passages, sinus cavities, and facial bones. It involves a multidisciplinary team of specialists, including neurosurgeons, head and neck surgeons, plastic surgeons, and eye surgeons.

There are different approaches to skull base surgery, including the traditional transcranial and trans-facial approaches as well as the more modern Endoscopic Endonasal Approach (EEA) that allows surgeons to operate through the nasal passages without external incisions. The surgery typically involves three stages: the surgical approach to reach the tumor, tumor resection, and reconstruction of the skull base

After skull base surgery, patients may experience fatigue, nausea, head pain, incision pain, and temporary swallowing difficulties. Recovery involves specific post-operative care such as avoiding activities that increase pressure in the head to prevent spinal fluid leaks and following instructions for nasal cavity care. Patients are usually advised to avoid bending, lifting, straining, or blowing their nose to reduce the risk of complications. Follow-up appointments are crucial for monitoring healing progress and addressing any concerns.