Minimally invasive brain tumor, skull base and pituitary surgery
The endonasal, endoscopic approach, the supraorbital approach and the transorbital 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.
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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 nasal cavity to perform the surgery delicately with newer instruments and image guidance. A variety of tumors can be removed in this fashion, in various locations, through the normal sinus cavities. This allows to maneuver the endoscope to the desired location. This approach was first developed by endoscopic sinus surgeons but is now being used for Minimally Invasive Skull Base Surgery to treat brain tumors as well.
Since the anterior skull base comprises of 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, and an otolaryngologist but also an Endocrinologist, Neuro-opthalmologist and an Interventional Neuroradiologist.
Lessons learned in the evolution of endoscopic skull base surgery
JNSPG 75th Anniversary Invited Review Article
Theodore H. Schwartz, MD, Peter F. Morgenstern, MD, and Vijay K. Anand, MD
Endoscopic Cranial Base Surgery:
Classification of Operative Approaches
Theodore H. Schwartz, M.D., Justin F. Fraser, M.D., Seth Brown, M.D., Abtin Tabaee, M.D., Ashutosh Kacker, M.D., Vijay K. Anand, M.D.
Recent Advances in the Field of Minimally Invasive Neurosurgery
Our 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 also pioneered the use of 3D endoscopy which provides dramatic improvements in endoscopic visualization by increasing the depth of field. Dr. Schwartz and Anand have published several textbooks on the subject, including the first in the field, entitled “Practical Endoscopic Skull Base Surgery” which is available at the publishers website.