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Brain Surgery

Surgery of the Skull Base

Skull base surgery is a surgery that is done to get rid of a tumor or other growth at the base, or bottom, of the skull. Minimally invasive skull base surgery, otherwise known as endoscopic skull base surgery, is a surgical procedure that lets doctors do this fragile surgery through the nose. Skull base surgery could be done to remove both non-cancerous and cancerous growths, and abnormalities beneath the brain, the skull base, or the top few vertebrae of the spinal column.

Because this is such a difficult territory to see and reach, skull base surgery could be done by a minimally invasive endoscopic procedure. In this technique, the surgeon interjects instruments through the natural openings in the skull the nose, mouth or by making a small hole just above the eyebrow. This kind of surgery needs a team of specialists that might include ENT (ear, nose, and throat) surgeons, maxillofacial surgeons, neurosurgeons, and radiologists.

Why Skull Base Surgery is done?

Skull base surgery is performed to remove tumors, including:

  • Craniopharyngiomas (a brain tumor close to the pituitary gland )
  • Tumors in the pituitary gland
  • Sinonasal tumors (tumors of the sinuses and nasal cavities)

Skull base surgery also could be done to treat a cyst, encephaloceles or hernias in the brain, and some other birth defects.

Are There Any Risks From Skull Base Surgery?

The most common complication after skull base surgery is a cerebrospinal fluid (CSF) leak. Cerebrospinal fluid (CSF), the clear fluid which is surrounded and acts as a cushion to the brain, could leak out of the nose if there is a hole or tear in the protective covering of the brain. Cerebrospinal fluid (CSF) leaks should be fixed.

There also is a risk of injury to blood vessels or crucial nerves at the bottom of the skull during surgery.
Other problems of skull base surgery could include:

  • Bleeding
  • Loss of smell
  • Decreased sense of taste
  • Face and teeth numbness
  • Meningitis or other infection

What Else Should I Know?

The problems treated with skull base surgery are serious. Minimally invasive skull base surgery permits for faster recovery, less pain, no scars, fewer complications, and less chance or risk of damage to other parts of the brain. In some of the cases, though, traditional skull base surgery could be the better option.

Dr. David Masel is well versed in minimally invasive surgery techniques to treat neurological disorders affecting the brain. If you or anyone you know is suffering from brain injuries or brain disorders like :-

  • Brain Malformations
  • Brain Tumors
  • Encephalopathy
  • Degenerative Nerve Diseases

Please book an appointment with Dr. Masel, call +1(469) 833-2927 to schedule a consultation.