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SKULL BASE SURGERY - A NEW CONCEPT IN REGIONAL SURGERY
1Reader, Dept of Otorhinolaryngology, Armed Forces Medical College, Pune 411040.
Medical Journal, Armed Forces India
|August 4, 2017
Summary
Skull base surgery has advanced significantly, integrating multiple surgical specialties. Modern microsurgical techniques improve access and reduce risks for complex cranial base lesions.
Area of Science:
- Neurosurgery
- Otolaryngology
- Maxillofacial Surgery
- Plastic Surgery
Background:
- The skull base, historically a challenging surgical area, has seen significant evolution over the past century.
- Traditionally approached from various angles by different surgical specialties, it was once considered a difficult anatomical region.
Purpose of the Study:
- To review the advancements in skull base surgery over the last 100 years.
- To highlight the integration of multidisciplinary surgical expertise in managing skull base lesions.
Main Methods:
- Discussion of modern microsurgical techniques focusing on cranial bone removal for optimal access.
- Emphasis on preoperative imaging, intraoperative neuromonitoring for nerve preservation, and advanced anesthetic/postoperative care.
Main Results:
- Multidisciplinary collaboration and advanced techniques have transformed skull base surgery.
- Improved surgical access and preservation of neural structures have led to reduced mortality and morbidity.
Conclusions:
- Current skull base surgery integrates diverse surgical skills and advanced techniques for improved patient outcomes.
- Future directions include personalized treatment protocols driven by refined imaging, stereotactic radiosurgery, and chemotherapy, managed by expert teams.
