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Skull Base & Spine Surgery Treatment

Skull Base & Spine Surgery

Skull Base & Spine Surgery Treatment in Dhakuria

The purpose of Skull Base Surgery is to remove anomalies as well as noncancerous and malignant growths on the base of the skull, the bottom of the brain, and the top few vertebrae of the spinal column. In this surgery, the surgeon makes a tiny incision just above the eyebrow or uses the nose and mouth, which are the natural apertures in the skull, to introduce equipment.

Spinal Surgery treats conditions in the spinal column, including tumours, fractures, spinal stenosis, ruptured discs, and spinal abnormalities like scoliosis. Surgeons use a variety of techniques, including Disc Replacement, Fusion, and Decompression, which relieve pressure on nerves.

Both open surgery methods and minimally invasive methods can be used for these types of procedures; the latter frequently leads to shorter recovery periods and less discomfort following surgery. A team of experts, including radiologists, maxillofacial surgeons, neurosurgeons, and ENT (ear, nose, and throat) surgeons, collaborate closely for these surgical procedures to produce optimal results.

FAQ's

Some growths and conditions that can be addressed with Skull Base Surgery include the following:

  • Cysts develop after birth

  • Growths brought on by infections

  • Tumours of the pituitary

  • Non-cancerous tumours called meningiomas originate from the meninges (the tissue that surrounds the brain and sits between the brain and the skull)

  • Chordoma (a slow-growing bone tumour that is often located around the base of the skull)

  • Trigeminal neuralgia (severe facial discomfort on one side)

  • Craniopharyngiomas (growths that appear close to the pituitary gland)

  • Craniosynostosis (a disorder that causes an infant's skull bones to fuse prematurely, impairing the development of the brain and the structure of the skull)

  • A brain aneurysm (a bulge in the blood vessels of the brain)

  • Arteriovenous malformations (improper connections between the arteries and veins)

There are two primary approaches to Skull Base Surgery. While endoscopic excision is the recommended approach, open surgery is an alternative as well.

  • Endoscopic or Minimally Invasive Surgery: Usually, this kind of operation doesn't call for a big incision. An endoscope, a thin, illuminated tube, is used by neurosurgeons to remove growths from patients after a surgeon passes the device and instruments through an opening in the nose. To help the surgical experts ensure that every growth has been removed, a radiology specialist may do magnetic resonance imaging (MRI) during the operation.

  • Open or Traditional Skull Base Surgery: Skull and face incisions may be necessary for this type of surgery. It might be necessary to remove some bone to access and remove the growth. For this kind of operation, an operating room microscope is frequently used.

Based on your symptoms and a physical examination, a growth or abnormality that may need Skull Base Surgery will be diagnosed. Tests and imaging examinations are crucial components of the diagnosis, as the region cannot be directly seen.

  • Brain imaging: This involves specialised procedures like magnetic resonance imaging (MRI), magnetic resonance angiogram (MRA), positron emission tomography (PET), and computed tomography (CT) scans to provide images of the skull.

  • Biopsy: It is possible to remove a small fragment of growth from the base of the skull and examine it under a microscope. An endoscope inserted into the sinuses and nose can be used to perform a biopsy. Excisional biopsy or fine needle aspiration are other methods for doing biopsies.

  • Other tests: You may have tests for balance, cranial nerves, muscular function, hearing, and vision. Additional bodily systems and locations may also be examined through studies or scans.

Some other treatments depend on the growth and abnormality of the skull base:

  • Chemotherapy: Medications are used to treat cancerous growths.

  • Radiation Treatment: When surgery is not possible to entirely remove a growth in the base of the skull, Radiation may be used to manage it.

  • Gamma Knife: This particular kind of Radiation Treatment targets growth in the base of the skull with precisely aimed X-ray beams.

  • Proton Beams: This is an additional form of Radiation Therapy that is intended to target tumours with more precision and dosage.

  • Particle treatment: The most recent type of Radiation is this one. It employs high-energy particles that cause fewer negative effects. One type of particle treatment is Carbon-ion Radiotherapy.

There are two big categories or types of Spine Surgeries:

  • Decompressing the nerves: if the pain that needs to be eliminated is related to compression

  • Stabilising the spine involves placing hardware into bony elements of the spine to keep it stable and to promote healing.

After surgery, it's normal to have some soreness around the wound; however, this is typically readily managed with over-the-counter painkillers. The kind of surgery you're having will determine how much treatment is needed.

The particular risks are dependent on your health and will be thoroughly explained to you before surgery.

  • Lower back pain

  • Infection

  • Bleeding

  • Leakage of spinal fluid

  • Damage to a nerve that results in leg discomfort, numbness, and weakness

  • Issues with the bowels or bladder due to nerve damage

  • Progressive lumbar spine deformity, such as spondylolisthesis or kyphosis

  • Incomplete nerve decompression

  • Symptom recurrence

  • Adjacent segment illness

  • Scoliosis

  • Paralysis resulting from damage to the spinal cord

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