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Advanced Endoscopic Skull Base Surgery in Bangalore

Endoscopic Skull Base Surgery

Advanced Endoscopic Skull Base Surgery in Bangalore

Endoscopic anterior skull base surgery is a specialized, minimally invasive procedure performed through the nostrils for disease and tumours of the upper part of the nose below the brain and lateral skull base surgery is performed through the ear for disease and tumours of the ear and surrounding areas near the brain. This approach eliminates the need for external incisions, providing a detailed view of the skull base. It serves as an alternative to traditional methods like lateral rhinotomy and craniotomies, offering comparable or better outcomes. The benefits include enhanced visualization of complex anatomical structures, quicker recovery, less pain, and improved cosmetic results. The technique minimizes brain manipulation, reducing complications such as cerebrospinal fluid leaks and nerve damage.

Advanced Endoscopic Sinus and Anterior Skull Base Techniques

  • Endoscopic CSF leak repair

  • Endoscopic excision of JNA

  • Endoscopic medial / sub-total / infrastructure maxillectomy

  • Endoscopic orbital/optic nerve decompression

  • Endoscopic nasopharyngectomy

  • Endoscopic pituitary adenoma excision

  • Endoscopic approach to pterygopalatine/infratemporal fossa

Advanced Endoscopic Lateral Skull Base Techniques

  • Endoscopic glomus tympanicum/glomus jugulare excision

  • Endoscopic sub-total petrosectomy

  • Endoscopic infra-cochlear approach to petrous apex

  • Endoscopic approach to the facial nerve

  • Endoscopic trans-promontory approach to IAM

Anterior Skull Base Conditions

The anterior skull base can be accessed via the nose using endoscopic techniques. Conditions treated in this region include:

  • Pituitary Adenomas: Benign tumours in the pituitary gland causing hormonal imbalances.

  • Craniopharyngiomas: Tumors near the pituitary gland, often affecting vision and hormone function.

  • Esthesioneuroblastoma: A rare cancer arising from the olfactory (smell) nerve.

  • Meningiomas: Tumors affecting the membranes covering the brain.

  • Sinonasal Carcinomas: Malignant tumours originating in the nasal cavity or sinuses.

  • Cerebrospinal Fluid (CSF) Leaks: Spontaneous or trauma-induced leaks of brain fluid.

Lateral Skull Base Conditions

Endoscopic lateral skull base surgery is performed for conditions such as:

  • Tumours including glomus tympanicum, glomus jugulare, vestibular schwannoma, facial nerve schwannomas (FNS)

  • Endolymphatic sac tumours (ELSTs) 

  • Myelodysplastic disorders with skull base lesions 

  • Cancers of ear and temporal bone

  • Skull base osteomyelitis of lateral skull base

The surgical process involves careful preoperative planning with imaging (MRI & CT scans) to assess the tumour’s location and surrounding anatomy. Surgeons access the skull base via the nasal cavity, often widening the passage through procedures like turbinectomy and sphenoidotomy. Tumor resection is performed using a collaborative two-surgeon technique for precision. Post-tumor removal and reconstruction of defects are carried out using the Hadad-Bassagaisteguy flap to prevent complications and safeguard neurovascular structures. This step is crucial for sealing the cavity between the nasal and cranial spaces, further enhancing patient safety and recovery outcomes.

Extensive Endoscopic Sinus Surgeries

Sinus surgeries are advanced medical procedures designed to relieve chronic sinusitis and improve nasal airflow. Common types include Functional Endoscopic Sinus Surgery (FESS), balloon sinuplasty, and image-guided surgery, each targeting blocked or inflamed sinus passages. These minimally invasive techniques enhance breathing, reduce infections, and alleviate sinus-related headaches. Recovery is often quick, with significant improvement in quality of life. Ideal for those unresponsive to medication, sinus surgeries provide lasting relief while preserving the natural anatomy of the nasal and sinus structures.

Consult our ENT Head and Neck Surgeons if you need Advanced Endoscopic Skull Base Surgery in Bangalore.

Treat complex skull base conditions with minimally invasive endoscopic surgery. Faster recovery, reduced complications, and precise care at Manipal Hospitals

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