Skull Base Surgery

Fellowship-trained in endoscopic skull base surgery, Dr. Surabhi brings advanced surgical expertise to complex sinonasal and intracranial pathologies.

Fellowship in Skull Base Surgery

Skull Base Conditions We Treat

Endoscopic Skull Base Surgery

A minimally invasive approach using a nasal endoscope to access the skull base, avoiding large open incisions.

  • Access through the nose
  • No external scar
  • Faster recovery
  • High-definition visualization

Surgical Approach

Used for pituitary tumours, sinonasal tumours, CSF leaks. Performed under general anesthesia.

Endoscopic Skull Base Surgery

Pituitary Tumours

Pituitary adenomas are among the most common skull base tumours. Endoscopic transsphenoidal surgery is the gold standard approach.

  • Headaches
  • Vision changes
  • Hormonal imbalances
  • Incidental finding on MRI

Surgical Approach

Endoscopic transsphenoidal resection through the nose without external incisions.

Pituitary Tumours

Sinonasal Tumours

Tumours from the nasal cavity or paranasal sinuses, both benign and malignant, may require endoscopic or combined surgical approaches.

  • One-sided nasal blockage
  • Facial swelling
  • Nosebleeds
  • Reduced smell

Surgical Approach

Endoscopic resection, with adjuvant radiotherapy or chemotherapy for malignant cases.

Sinonasal Tumours

CSF Leak Repair

Cerebrospinal fluid leaks from the skull base into the nasal cavity causing clear watery discharge and risk of meningitis.

  • Clear watery nasal discharge
  • Headache
  • History of trauma or prior surgery
  • Salty taste

Surgical Approach

Endoscopic skull base repair using mucosal grafts. Most repairs are successful with a single procedure.

CSF Leak Repair

Choanal Atresia

A congenital blockage of the back of the nasal passage. Bilateral cases present as neonatal emergencies.

  • Inability to breathe through nose (newborns)
  • Chronic nasal congestion
  • Recurrent sinus infections

Surgical Approach

Endoscopic surgical correction to open the blocked nasal passage. Excellent outcomes.

Choanal Atresia

FAQs

What makes skull base surgery minimally invasive?+
Endoscopic skull base surgery is performed through the natural nasal passages using a thin camera and specialized instruments, avoiding large incisions, reducing hospital stay, and allowing faster recovery.
Is pituitary surgery done through the nose?+
Yes. The standard approach is the endoscopic endonasal transsphenoidal approach, accessing the pituitary gland through the nose with no external incisions.
What is recovery like after skull base surgery?+
Most endoscopic skull base procedures allow discharge within 3-7 days. Patients avoid nose blowing and strenuous activity for several weeks.
Does Dr. Surabhi operate alone on skull base cases?+
Complex cases are managed in a multidisciplinary team with neurosurgeons, ophthalmologists, and oncologists. Dr. Surabhi leads the ENT-endoscopic component.

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