Endoscopic Skull Base
Care for anatomically complex disease at the boundary of ENT and skull base surgery.
Selected skull-base conditions require detailed imaging review, endoscopic access planning and multidisciplinary collaboration. The aim is appropriate case selection rather than treating every complex case through the same pathway.
CSF LeakSinonasal TumoursRevision DiseaseEndoscopic AccessMultidisciplinary Planning
Referral triggers
When a skull-base opinion is useful.
CSF rhinorrhoea or suspected skull-base defect
Especially when imaging or prior repair is complex.
Especially when imaging or prior repair is complex.
Sinonasal disease reaching skull-base boundaries
For resectability and endoscopic access assessment.
For resectability and endoscopic access assessment.
Revision or recurrent disease
When prior surgery has altered anatomy.
When prior surgery has altered anatomy.
Cases needing joint planning
ENT, neurosurgical, radiology and pathology review as required.
ENT, neurosurgical, radiology and pathology review as required.
Imaging first
Bring the actual scans, not just reports.
Thin-cut CT, MRI and prior operative details are especially valuable. For skull-base work, the image set itself often matters more than the written report alone.
Decision framework
Confirm anatomy, define risk, choose the right access.
1
Imaging review
CT/MRI assessment of anatomy, disease extent and critical structures.
2
Clinical correlation
Endoscopy, prior treatment and symptom pattern.
3
Case selection
Endoscopic, open, combined or non-operative pathway as appropriate.
4
Team planning
Multidisciplinary input when anatomy or disease biology requires it.
5
Follow-up
Surveillance, healing review and rehabilitation.