Sinus and skull base surgery is a specialized area within the field of Otorhinolaryngology (ENT) that focuses on the diagnosis and treatment of conditions affecting the sinuses and the skull base. It involves surgical interventions to address various sinus and skull base disorders, including:

Chronic sinusitis: Surgery may be considered for patients with chronic sinusitis that does not respond to conservative treatments. Functional endoscopic sinus surgery (FESS) is a common procedure performed to remove nasal polyps, open blocked sinuses, and improve sinus drainage.

Nasal polyps: Nasal polyps are benign growths that can cause chronic nasal congestion, loss of smell, and other sinus-related symptoms. Surgical removal of nasal polyps may be necessary if they are large, persistent, or causing significant symptoms.

Sinus tumors: Benign or malignant tumors can develop in the sinuses or the skull base. Surgical resection may be required to remove these tumors and may involve endoscopic or open approaches depending on the location, size, and extent of the tumor.

Skull base tumors: Skull base tumors are growths that occur at the base of the skull and may involve structures such as the pituitary gland, brain, or nerves. Surgery for skull base tumors can be complex and may involve a multidisciplinary team of specialists, including neurosurgeons and radiation oncologists.

CSF (Cerebrospinal Fluid) leaks: CSF leaks occur when there is a breach in the barrier between the skull base and the nose or sinuses, leading to the leakage of cerebrospinal fluid. Surgical repair is often required to seal the leak and prevent complications.

Pituitary gland disorders: The pituitary gland, located at the base of the brain, can develop various disorders, such as tumors (adenomas) or hormonal imbalances. Endoscopic transsphenoidal surgery is commonly performed to access and remove pituitary tumors or to treat certain pituitary hormone abnormalities.

Skull base reconstruction: After the removal of tumors or repair of defects in the skull base, reconstructive procedures may be performed to restore the normal anatomy and function. This may involve using grafts, implants, or other techniques to rebuild the skull base.

These are just a few examples of sinus and skull base surgeries. The specific surgical approach and techniques used will depend on the patient’s condition, the location of the problem, and the expertise of the surgical team. The procedures can range from minimally invasive endoscopic surgeries to more extensive open approaches.

If you have sinus or skull base conditions that require surgical intervention, it is essential to consult with an experienced ENT specialist or a skull base surgeon. They will evaluate your specific condition, discuss the surgical options, and guide you through the pre-operative, operative, and post-operative processes.