Many vital structures, such as large blood vessels and important nerves, exit and enter the skull at its base. The skull base separates the brain from the eyes, nose, ears and other facial structures. It starts above the eyebrows and slopes downward, ending at the back of the neck.
Skull base surgery is performed to remove or repair an abnormality on the bony surface beneath the brain—the skull base.
AtAakash healthcare, our neurosurgeons offer particular expertise in the procedures available to treat these tumours.Whenever possible, our surgeons advocate the use of minimally invasive and image-guided surgical techniques.
What is the procedure?
In craniotomy, The neurosurgeon begins by making an incision usually near the location of the skull base abnormality, and then delicately reflects the skin and muscle to reveal the skull. The neurosurgeon then creates an opening in the skull by temporarily removing a bone flap, the removal of bone is designed to provide access to the tumour in a way that avoids manipulation of the brain.Next, depending on the brain abnormality, additional procedures are performed to treat the condition.Lastly, the neurosurgeon stitches up the incision on the scalp.
Transsphenoidal surgery usually does not require visible incisions, and if any are visible, they are very small. Also, the surgeon performs the procedure by going through the nose or mouth.The operation begins with inserting the tip of an endoscope through one of the nostrils, and then opening up the sphenoid sinus at the back of the nasal cavity. Instruments are passed through the nose to repair or remove the brain abnormality. After the brain abnormality is removed or repaired, any incisions made are stitched.
How should one prepare for thesurgery?
Be sure to tell the doctor about any medications or supplements, including herbs or vitamins, you take. It is essential for your doctor to be made aware of these because certain medications or supplements, such as warfarin and aspirin, can increase bleeding during the operation, and your doctor will need to determine whether your medication schedule should be adjusted.
Also, let your doctor know of any allergies you may have to food or medications.
Some frequently asked questions:
How long will I stay in the hospital?
Typically, patients who undergo transsphenoidal surgery stay in the hospital for one or two days and then they are discharged. Those who undergo craniotomy usually stay longer, around one week.
Will I need to take any special medications?
Patients who undergo transsphenoidal surgery are prescribed medication for pain and sometimes nausea, and those who undergo craniotomy may take additional medications, such as those to prevent brain swelling and seizure.
Patients who undergo craniotomy are encouraged to get up and walk every day if they have the energy, but should not resume exercise until the neurosurgeon approves such activity
Is there any follow-up required?
After the surgery, the patient will be scheduled for several follow-up appointments with the neurosurgeon.
During these appointments, the neurosurgeon will evaluate the patient’s progressing recovery in detail. Depending on the treated brain abnormality, the neurosurgeon may order imaging studies to visualise the brain or conduct other tests.
Recovery and Inpatient Rehabilitation
In addition to excellent post-surgical inpatient care, Aakash super speciality hospital offers comprehensive rehabilitation staff and facilities to complement patients experiencing skull surgery recovery. Speech and language therapy may be needed for some patients.