Dr. Krishna Shroff Dr. Krishna Shroff

Endoscopic Skull Base Surgery

Endoscopic Skull Base Surgery

Endoscopic Skull Base Surgery is a highly advanced, minimally invasive surgical technique used to access and treat tumors and other conditions located at the base of the skull and upper spine. Instead of traditional open surgery that requires large incisions, this procedure uses a thin, flexible tube with a camera and light (endoscope), which is usually inserted through the nose or small natural openings.

This approach allows neurosurgeons to reach deep-seated areas with minimal disruption to surrounding brain tissue, muscles, and nerves—resulting in safer surgeries, faster recovery, and better outcomes.


Conditions Treated

Endoscopic skull base surgery is often used to remove or treat:

  • Pituitary Adenomas – Benign tumors of the pituitary gland

  • Craniopharyngiomas – Tumors near the pituitary and hypothalamus

  • Chordomas and Chondrosarcomas – Rare tumors of the skull base or spine

  • Meningiomas – Tumors growing from the brain’s protective coverings

  • Esthesioneuroblastomas (Olfactory Neuroblastomas) – Tumors originating in the nasal cavity

  • Cerebrospinal Fluid (CSF) Leaks – Repairing abnormal fluid leakage from the brain

  • Skull Base Cysts and Other Benign Growths


Advantages of Endoscopic Skull Base Surgery

Compared to traditional open skull base surgeries, the endoscopic approach offers several benefits:

  • Minimally Invasive: No large incisions or facial scars

  • Reduced Trauma: Less disturbance to brain tissue and surrounding structures

  • Improved Visualization: High-definition endoscopic cameras provide clear, magnified views of delicate areas

  • Shorter Hospital Stay: Faster recovery with fewer complications

  • Less Pain and Blood Loss: Improved comfort during recovery

  • Faster Return to Daily Activities: Reduced downtime for patients


Procedure Overview

  1. Preoperative Evaluation: Comprehensive imaging (MRI, CT scans) and lab tests to plan the safest surgical route.

  2. Anesthesia: Surgery is typically performed under general anesthesia.

  3. Endoscopic Access: The endoscope is introduced through the nasal passage or a small incision near the eyebrow or mouth, depending on tumor location.

  4. Tumor Removal / Repair: Specialized microsurgical instruments are used to carefully remove the tumor or repair defects.

  5. Closure and Recovery: After surgery, patients are monitored in a recovery unit or intensive care for close observation.


Recovery and Aftercare

  • Hospital Stay: Most patients stay 3–5 days in the hospital after surgery.

  • Postoperative Monitoring: Regular check-ups and imaging tests to ensure complete tumor removal and monitor healing.

  • Gradual Return to Normal Activities: Patients can usually resume routine activities within a few weeks.

  • Multidisciplinary Support: Depending on the condition, endocrinologists, ENT surgeons, and rehabilitation specialists may be involved in ongoing care.


Why Choose Us

  • Expertise in Minimally Invasive Neurosurgery: Our neurosurgeon specializes in advanced endoscopic skull base techniques with a high success rate.

  • State-of-the-Art Technology: Equipped with the latest high-definition endoscopes and neuronavigation systems for precision surgery.

  • Comprehensive Team-Based Care: Collaborative approach with ENT, endocrinology, oncology, and rehabilitation specialists for holistic treatment.

  • Patient-Centered Approach: Personalized care plans and detailed guidance for patients and families at every step.