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Overview | What to expect | Intraoperative MRI | Endoscopic Transphenoidal Approach
Dr. Vijay K. Anand | Dr. Theodore H. Schwartz
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The endonasal, endoscopic approach to the anterior skull base provides a minimally invasive way to remove tumors that would otherwise require either a large cranial opening and brain retraction or disfiguring facial scars. Instead, an endoscope is advanced through the natural opening in the face, namely the nasal cavity. A variety of tumors can be removed in this fashion, in various locations, since the normal sinus cavities of the face are used to maneuver the endoscope to the desired location. This approach was first developed by endoscopic sinus surgeons but is now being used in our specialized Institute for Minimally Invasive Skull Base Surgery to treat brain tumors as well.

Since the anterior skull base comprises a number of important structures such as the pituitary gland, the optic nerves and the carotid arteries, we emphasize a multidisciplinary approach to the management of diseases in this area. Our team involves not only a Neurosurgeon, but an Otolaryngologist, Endocrinologist, Neuro-opthalmologist and an Interventional Neuroradiologist.

Recent Advances in the Field of Minimally Invasive Neurosurgery

Skull Base Surgery BookOur center has been at the forefront of several advances in the field of minimally invasive skull base and pituitary surgery. We were the first center in New York City to use intraoperative MRI scanning during endoscopic pituitary surgery. We are currently pioneering the use of 3D endoscopy which provides dramatic improvements in endoscopic visualization by increasing the depth of field. Dr. Schwartz and Anand recently published a new textbook, the first of its kind, entitled "Practical Endoscopic Skull Base Surgery" which is available at the publishers website.

Endoscopic Pituitary Surgery
Endocrine, Neuro-Ophthalmologic and Surgical Management
Schwartz / Anand
Publication Date: October 2011
384 pp, 300 illustrations

A comprehensive guide on current clinical management options for pituitary tumors -- including state-of-the-art endoscopic techniques

Offering the unique dual perspective of neurosurgeons and otolaryngologists, Endoscopic Pituitary Surgery: Endocrine, Neuro-Ophthalmologic and Surgical Management describes both cutting-edge endoscopic techniques and tried-and-true decision-making methodologies that lead to the most successful outcomes. From choosing the right surgical or non-surgical approach for individual patients, to managing complex endocrine and neuro-ophthalmologic issues, this is the first major reference in the field in nearly a decade—making it the “go-to” guide for all interdisciplinary specialists who treat pituitary tumors.

Endoscopic Transnasal Resection of Pituitary Tumors
AANS-Web based Grand Rounds
Theodore H. Schwartz, MD, FACS, FAANS and Aaron Cohen-Gadol, MD, MSc, FAANS

The faculty will discuss nuances of technique for endoscopic transnasal resection of pituitary tumors. They will review the advantages of using an endoscope to remove tumors. Limitations during surgery will also be discussed. 

Profile in Crain's New York Business:  'Brain Power'
Schwartz / Anand

Publication Date:  August 2011

Neurosurgeon Theodore Schwartz, MD, and ENT surgeon Vijay Anand, MD,  utilize new, 3-D technology during surgery at Weill Cornell Medical Center.

Pituitary Tumor This MRI scan shows a pituitary tumor pushing on the optic nerves causing loss of vision.

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