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Endoscopic Skull Base Surgery

Endoscopic Skull Base Surgery Program

The anterior skull base is the bone in the head that divides the nose from the brain. The skull base is the area of bone on which the brain rests. It is surrounded by blood vessels, nerves and other delicate structures that can affect speech, smell and eyesight. The skull base also includes the inside of the skull where the eye sockets, nasal cavities and ears meet the brain.

A skull base tumor is defined by 3 things:

  • Its location
  • What type of cells make up the tumor
  • The method used to remove the tumor

There are many conditions that can arise in the region of the anterior skull base including but not limited to benign tumors, malignant tumors, and leakage of fluid from the brain into the nose.

Diagnosing and treating anterior skull base conditions and tumors requires the expertise of a multi-disciplinary team of specialists in the fields of Neurosurgery, Otolaryngology and Neuroradiology. This team meets to consider each patient’s unique needs before recommending a treatment plan. At JFK, this team includes:

  • Dr. John Cantando, Neurosurgeon Fellowship Trained in Cerebrovascular/Skull-base Surgery
  • Dr. Alfredo Archilla, Otolaryngologist Head and Neck Surgeon Fellowship Trained in Rhinology and Endoscopic Skull-base Surgery
  • Dr. Abe Obuchowski, Interventional Neuroradiologist

Diagnosis and Treatment

At JFK Medical Center we offer the most advanced care for pituitary and skull base tumors. Our physicians use the most sophisticated diagnostic and treatment techniques including:

Advanced Imaging Techniques:

  • Magnetic Resonance Imaging (MRI)
  • CT Scan
  • Endoscopic Instruments and High Resolution Cameras
  • Image Guided Computers


  • Image guided/computer assisted endoscopic sinus and nasal surgery
  • Minimally invasive endoscopic anterior skull base surgery
  • Minimally invasive microscopic anterior skull base surgery

Surgical options will vary depending on the type of tumor. Whenever possible, endoscopic surgery is done.

Benefits of Endoscope:

  • Better Visualization of the Surgical Field
  • Increased Ability to Remove Entire Tumor
  • Less Surgical Time
  • Faster Recovery, Shorter Hospital Stay
  • No Nasal Packing

Common Skull Base Lesions We Treat

  • Pituitary Tumors (adenomas)
  • Crainopharyngeoma
  • Meningioma
  • Encephalocele
  • Cerebrospinal Fluid Leaks
  • Esthesioneuroblastoma
  • Angiofibroma
  • Chordoma

Pituitary Tumors

Pituitary tumors are abnormal growths that develop in the pituitary gland. Some pituitary tumors result in secretion of too many of the hormones that regulate important functions of your body. Some pituitary tumors can cause your pituitary glands to produce lower levels of hormones.

Most pituitary tumors are adenomas. Adenomas are noncancerous (benign) growths that may grow in size causing compression and potential damage to nearby structures in the brain. They may cause increased pressure in the head and loss of vision.