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What Does Skull Base Surgery Involve?

Skull base surgery is a highly specialized discipline that deals with intricate conditions involving the base of the skull and adjacent areas. It often involves treating tumors, vascular abnormalities, and other complex lesions near critical cranial nerves and blood vessels. Dr. Lekovic is skilled in utilizing minimally invasive techniques and state-of-the-art technology to access and remove these lesions while preserving neurological function. If you have skull base-related concerns, contact Dr. Lekovic to discuss your options.

Doctor showing the patient the test results before brain surgery in Los Angeles.

Types Of Skull Base Surgery

Endoscopic trans-sphenoidal approaches for pituitary tumors
In this minimally invasive procedure, the surgeon accesses the pituitary gland through the nose and sphenoid sinus using an endoscope. This approach allows visualization and removal of pituitary tumors without the need for external incisions. It is often used for non-functioning adenomas, functioning adenomas (e.g., prolactinomas), and other sellar and suprasellar tumors. The endoscope provides a clear view of the tumor, facilitating tumor removal while minimizing damage to surrounding tissues.

Endoscopic trans-sphenoidal approaches for other tumors of the anterior skull base

Similar to the procedure mentioned above, this endoscopic approach is used to access and remove tumors located in the anterior skull base, such as craniopharyngiomas, meningiomas, and chordomas. By accessing the tumor through the nose and sphenoid sinus, the surgeon can navigate complex anatomical regions with improved visualization, resulting in more effective tumor removal and reduced patient trauma compared to traditional open surgery.

Benefits Of Trans-Sphenoidal Techniques:

  • Minimally invasive procedure
  • No external incisions required
  • Reduced risk of infection and complications
  • Shorter hospital stay
  • Faster recovery and return to normal activities
  • Improved visualization of the surgical site
  • Precise tumor removal with minimal damage to surrounding tissues
  • Less postoperative pain and discomfort
  • Lower risk of damage to critical structures
  • Potential for improved surgical outcomes and patient satisfaction

Conditions Treated:

Please note that this list represents just some of the conditions treated with skull base surgery. For a comprehensive evaluation and personalized treatment plan, we encourage you to schedule a consultation with Dr. Lekovic.

  • Acoustic Neuroma (Vestibular Schwannoma)
  • Cranial Nerve Schwannoma
  • Cranial and Skull Base Meningioma
  • Spinal Schwannoma
  • Spinal Meningioma
  • Peripheral Nerve Sheath Tumors
  • Cholesterol Granuloma
  • Glomus Jugulare Tumor
  • Glomus Vagale Tumor
  • Pituitary Adenoma
  • Craniopharyngioma
  • Rathke Cleft Cyst
  • Meningioma
  • Cavernous Sinus Tumor
  • Chordoma
  • Chondrosarcoma
  • Esthesioneuroblastoma
  • Metastatic Tumor
  • Lower Cranial Nerve Peripheral Nerve Sheath Tumors
  • Arnold-Chiari Malformation
  • Foramen Magnum Meningioma
  • Jugular Foramen Meningioma
  • Craniovertebral Junction Instability
  • Metastatic and Primary Malignancies of the CVJ
  • Superior Canal Dehiscence

What Is The Recovery Like?

The recovery from skull base surgery varies depending on the specific procedure and the individual patient. In general, patients may experience some discomfort, swelling, and fatigue in the first few days following surgery. Pain medications and anti-inflammatory drugs are often prescribed to manage pain and reduce swelling. Most patients can return to light activities within a few weeks, but full recovery may take several weeks to a few months. It is essential to follow the postoperative care instructions provided by the medical team for a smooth recovery.

Contact Us Today

Dr. Lekovic is an expert in skull base surgery, offering advanced and comprehensive care for various conditions. If you or a loved one are experiencing symptoms related to skull base issues or need specialized treatment, we encourage you to schedule a consultation with Dr. Lekovic. He will provide a thorough evaluation, discuss treatment options, and work with you to create a personalized plan that best suits your needs. Contact us today to schedule your appointment.

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