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FAQ’S
What is a skull base surgery?
Skull base surgery is performed to remove a tumour or other growth from the base of the skull. Endoscopic skull base surgery, also known as minimally invasive skull base surgery, is a surgical technique that allows doctors to perform this delicate procedure through the nose.
What is a skull doctor called?
Otorhinolaryngologists, otolaryngologists, head and neck surgeons, or ENT surgeons or physicians are doctors who specialise in treating problems with the skull. For diseases of the ear, nose, mouth, base of the skull, head, and neck, patients seek care from an otorhinolaryngologist.
Why Is Skull Base Surgery Done?
Skull base surgery is used to remove tumours from the skull, such as:
- Sinonasal tumours (tumors of the sinuses and nasal cavities)
- Tumours in the pituitary gland
- Craniopharyngiomas (brain tumours near the pituitary gland)Â
- A cyst, encephaloceles (brain hernias), and certain birth defects can all be treated with skull base surgery.
What Happens Before Skull Base Surgery?
It requires a team to care for children who have tumours or other disorders that require skull base surgery. Depending on a child’s condition, a doctor’s care team may include:
- An ENT (ear, nose, and throat) specialist (ENT)
- A neurosurgeon who specialises in treating brain disorders
- An ophthalmologist is a doctor who specialises in the treatment of the eyes
- An anesthesiologist is a doctor who specialises in administering anaesthesia.
- A specialist in endocrinology
- A cancer specialist
- A radiology expert
Doctors will most likely order a CAT scan and/or an MRI scan to plan for surgery. Before surgery, a child can need additional testing, medications, or examinations.
What Happens After Minimally Invasive Skull Base Surgery?
To help control bleeding, doctors can place absorbable packaging material in the nose. To keep the inside of the nose moist and avoid crusting, the doctor will prescribe a saline (saltwater) nasal spray and antibiotic ointment.
Following the operation, a child can see an ENT surgeon on a daily basis. The surgeon will examine the wound and remove any crusting in the nose. A child may also need follow-up appointments with other doctors and other therapies, such as radiation or chemotherapy, depending on the condition.
For at least a month after skull base surgery, children must avoid activities that increase head pressure. They should:
- Not strain especially during bowel movements. A stool softener may be recommended by the doctor.
- They sneeze with their mouths closed
- They should not blow their noses and sleep flat.Â
For a week or two, the doctor would normally suggest sleeping with a couple of pillows to keep the head elevated.