Neurosurgery - Anterior Skull Base Surgery

At the House Clinic we provide multidisciplinary expertise to pathology of the anterior skull base. As with lateral skull base surgery, we are committed to the ‘team approach’ and believe that our patients benefit from the synergy of ENT and Neurological surgeons working together. To that end, we routinely employ both traditional open skull base surgery techniques as well as minimally invasive and/ or endoscopic techniques. Not all pathology- including tumors- of the anterior skull base require surgery, however, and we often recommend conservative treatments or radiosurgery when appropriate.

Pathology of anterior skull base may be entirely extradural, intradural, or may begin intradurally and extend extra-durally (or vice versa), and includes pathology of the:

  • Pituitary, sella turcica, suprasellar and pre-pontine cisterns
  • Clivus, petrous apex, and anterior cranio-cervical junction;
  • Orbit and cavernous sinuses;
  • Olfactory groove and cribiform plate;
  • Frontal, ethmoid, and sphenoid sinuses;
  • Pterygopalatine and infratemporal fossae;

Diseases and disorders of the anterior skull base include:

  • Pituitary adenoma
  • Craniopharyngioma
  • Rathke cleft cyst
  • Pituicytoma
  • Meningioma
  • Cavernous sinus tumor
  • Chordoma & Chondrosarcoma
  • Esthesioneuroblastoma
  • Metastatic tumor