Skull Base surgery is a highly specialised surgery performed for treatment of benign as well as malignant growths/tumours that are located at the base of skull or underneath the brain or the upper area of the spinal cord. It is also beneficial for repair of congenital malfunctions and abnormalities. The ENT doctors in Delhi are highly proficient in performing all kinds of skull base surgeries. Even the most complex cases are successfully performed by these doctors, as they understand the complex anatomical structural of the cranial base and have experience of performing several such surgeries.
Understanding the basics of Skull Base Surgery
Though the Skull base diseases are not-so-common, they are considered to be life threatening ailments. They affect the normal functioning of brain as well as senses including hearing, vision and balancing.
Skull base surgery is different from the one that is performed by surgically opening the skull. In this method of surgery, your surgeon will operate by using specialised instruments. He will insert these instruments through either the nose or mouth or above the eyes, which are natural openings of the skull, for performing the surgery.
Skull base is accessed through the below mentioned approaches –
- Through the mouth (Trans-oral)
- Through the nostrils (Trans-nasal)
- A very small opening just above the eyebrow (Supra-orbital)
Benefits of Skull Base Surgery in India
The advantages of undergoing skull base surgery include –
- Less risk of infection.
- Less chances of damage to the cerebral structures and nerves.
- The risk of disfigurement of internal organs is also less.
- Shorter hospital stay.
- Faster recovery and getting back to daily routine life.
The Indian Healthcare fraternity pays a huge attention to the minimally invasive surgical technique of performing skull base surgery and therefore a medical society by the name of Skull Base Surgery Society of India (SBSSI) was established in the year 1998.
Symptoms of Skull Base Tumours
Tumours in the skull are of both types- benign and malignant. Sometimes, even benign tumours can be dangerous and cause painful symptoms. Normally, skull base tumours do not cause much discomfort unless they are large enough.
Symptoms of skull base tumours vary depending upon their location and juxtaposition to other crucial structures and also the rate at which they are growing. Some of the major symptoms include –
- Chronic Headache
- Loss of hearing ability
- Feeling of ringing in the ears (tinnitus)
- Numbness or pain the face
- Breathing problem
- Recurring sinusitis
Types of Skull Base Surgery
Invasive Endoscopic Procedure
This is performed with the help of an endoscope which is a flexible tube-like instrument consisting of an eye piece, a light source, a lens and an additional channel for allowing another medical instrument to pass through.The aim of ENT doctors in Delhi is to maintain top-quality standards of clinical practice in the field of skull base surgery through invasive endoscopic technique.
Open Skull Surgery
This is the traditional approach wherein a small incision is made in the skull area to access the tumour and remove it. Regular follow up is required in this case to check the recurrence of tumour.
Common Conditions treated through Skull Base Surgery
The most common ailments treated through this surgery include – Cerebral aneurysms, pituitary tumours, Trigeminal neuralgia, Arteriovenous Malformations (AVMs), Meningiomas, Craniopharyngiomas, Cerebro-spinal fluid fistulas, etc.