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Cranial Base Surgeries



NeuroSpine Institute


One of the most remarkable advancements developed at the Neuro Spine Institute would be the minimally invasive, entirely endoscopic method of treating pituitary tumors (pituitary adenomas) as well as other skull base disorders. This revolutionary method utilizes a small endoscope—2.7 mm wide and 20 cm long—with angled tips that is introduced through the nostril and into the skull. This method provides several benefits regarding the surgical procedures and recovery for removing pituitary tumors.


Initially, because the camera is "placed" in the tip of the endoscope, surgeons have a vivid panoramic look at the brain. They are able to look around corners and create a complete visual examination. This panoramic perspective also offers surgeons the cabability to remove the entire tumor in most cases. This technique is in contrast to the conventional method, which involves observing the tumor site through a microscope outside of the skull at a focal range that limits visibility.


Since the point of access is through a nostril, no incision is necessary. As a result, there isn't any scar damage, no nasal packing, and the brain is uninterrupted. The time necessary for the actual surgical procedure, the duration of the hospital stay, and total recovery time is significantly decreased. Patients can typically go back home within 24-48 hours of the pituitary tumor removal surgical procedure and have a quick recovery.


Today, our research and development is centered on further innovating the realm of minimally invasive brain and skull base surgical procedures in general, and in the specific treatment of pituitary tumors. High-definition intraoperative digital imaging, 3D endoscopy, custom-designed microinstruments, headsup displays, as well as nanotechnology are all currently being utilized to present our patients with more innovative yet minimally invasive methods of treatment for pituitary tumors.


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