Endoscopic Skull Base Surgery in Gurgaon

Conditions involving the skull base

• CSF leak: cerebrospinal fluid, the clear fluid around the brain, leaks through a small defect into the nose. It shows up as a clear, watery drip from one nostril, often worse when bending forward. It can follow a head injury or happen on its own.
• Pituitary tumours: growths of the pituitary gland, which sits just behind the sphenoid sinus.
• Sinonasal tumours: benign or malignant growths in the nose and sinuses that may extend towards the skull base.
• Juvenile nasopharyngeal angiofibroma: a rare vascular tumour seen in teenage boys, causing nose blockage and heavy nosebleeds.
• Encephalocele and meningocele: brain tissue or its lining pushing through a defect in the skull base.
• Tumours around the ear and hearing nerve, such as vestibular schwannoma.

Symptoms to watch for

• A clear, watery discharge from one side of the nose that doesn't stop
• A blocked nose on one side, with bleeding
• Repeated meningitis
• Changes in vision, double vision or bulging of one eye
• Hearing loss or ringing in one ear only
• Headaches along with any of the above

Evaluation

Skull base conditions need careful planning. Evaluation usually includes a nasal endoscopy in the clinic, CT and MRI scans to map the bone and soft tissue, and special tests when needed, for example a test of the nasal fluid to confirm a CSF leak, or hormone tests for pituitary tumours. Many cases are discussed with a neurosurgeon, an eye specialist or an endocrinologist, because skull base tumor treatment is usually a team effort.

What is endoscopic skull base surgery?

Traditionally, many skull base operations needed cuts on the face or opening of the skull. Endoscopic skull base surgery reaches the area through the nostrils using a thin camera and fine instruments. For suitable cases, this means:

• No visible scar on the face
• Less disturbance to the brain and surrounding structures
• A shorter hospital stay and quicker recovery for many patients

Not every condition can be treated this way. The approach depends on the type, size and exact location of the problem. Some cases need open surgery, radiotherapy or a combination.

CSF leak repair

CSF leak repair is one of the more common endoscopic skull base procedures. The leak site is identified, and the defect is closed using a graft, often taken from the patient's own tissue, through the nose. Leaks need to be treated because they carry a risk of meningitis.

After surgery

Patients usually stay in hospital for a few days. For some time after surgery, you will be advised to avoid blowing your nose, straining, heavy lifting and bending. Regular nasal cleaning and follow-up endoscopy help the area heal. Recovery and follow-up depend on the condition treated. For tumours, longer-term scans may be needed.

Frequently Asked Questions

How do I know if a watery nose is a CSF leak?

A CSF leak is usually from one side only, very clear and watery, and may increase when bending forward. A cold or allergy usually affects both sides. A simple test of the fluid can confirm it.

Is endoscopic skull base surgery safe?

It is an established technique for selected conditions. Like any surgery near the brain, it has risks, which are explained in detail before deciding on treatment.

Will I have a scar?

Endoscopic surgery is done through the nose, so there is usually no visible scar on the face.

What is the cost of skull base surgery?

The cost varies a lot depending on the condition, the team involved and the hospital stay. A detailed estimate is given after evaluation and scans.

Is it covered under insurance or Ayushman card?

Skull base surgery for a medical condition is generally covered by health insurance. Coverage under PMJAY depends on the specific package. Please ask at the clinic or see the Ayushman card page.

Book a consultation

Call +91-8178774813 or use the appointment page. Bring all CT and MRI films and reports, including the CDs. Related reading: nose and sinus treatment and endoscopic sinus surgery (FESS).