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ADVANCED ENDOSCOPIC SINUS AND ANTERIOR SKULL BASE TECHNIQUES

  1. Endoscopic CSF leak repair
  2. Endoscopic excision of JNA
  3. Endoscopic medial / sub-total / infrastructure maxillectomy
  4. Endoscopic orbital / optic nerve decompression
  5. Endoscopic nasopharyngectomy
  6. Endoscopic pituitary adenoma excision
  7. Endoscopic approach to pterygopalatine / infratemporal fossa

    ADVANCED ENDOSCOPIC LATERAL SKULL BASE TECHNIQUES

    • Endoscopic glomus tympanicum / glomus jugulare excision
    • Endoscopic sub-total petrosectomy
    • Endoscopic infra-cochlear approach to petrous apex
    • Endoscopic approach to facial nerve
    • Endoscopic trans-promontorial approach to IAM

Advanced Endoscopic Sinus and Skull Base Surgery

Dr. Satish Nair has mastered himself in the field of Head and Neck Surgery and he is keen on devising new approaches and techniques that are minimally invasive and can improve the quality of life of patients in addition to curing the disease. Skull base surgeries are routinely performed by open approach due to the complex anatomy and the nearby critical structures, but open approach leave the patient with huge unsightly scar, severe post-operative pain and prolonged recovery time. Very few surgeons in the world perform minimally invasive or endoscopic skull base surgeries and Dr Nair is one among them. At SVASTII, we perform the endoscopic techniques for both anterior and lateral skull base surgeries which is more precise and a scarless technique. Dr Nair has performed over 500 endoscopic anterior and lateral skull base surgeries over the past five years with excellent results. Patients from all over the country and also international patients visit us for endoscopic skull base surgeries. Svastii has become a Center for Advanced Endoscopic Sinus and Skull Base Surgery.

When does a patient need Sinus & Skull Base Surgery?

Endoscopic sinus surgeries in Bangalore

Skull base lesions can be divided into anterior and lateral based on the location. The anterior skull base lesions are approached endoscopically via the trans-nasal route (through the nose) and the lateral skull base is approached via ear.
All patients with the following disorders will need skull base surgery.

Looking for endoscopic sinus surgeries in Bangalore? Book your appointment today.

ENDOSCOPIC ANTERIOR SKULL BASE SURGERY for

  • Anterior skull base defect leading to CSF Rhinorrhea (CSF Leak) / meningocoele / meningoencephalocoele
  • Tumors (JNA, chondroma, etc) and cancers of nasopharynx
  • Tumors (Inverted papilloma, granuloma, hemangioma, etc) and cancers of nose and paranasal sinuses
  • Anterior skull base tumors like pituitary adenoma / estesioneuroblastoma / olfactory neuroblastoma / meningioma
  • Anterior skull base infection / inflammation (mucormycosis / skull base osteomyelitis)

ENDOSCOPIC LATERAL SKULL BASE SURGERY for

  • Tumors (glomus tympanicum, glomus jugulare, vestibular schwannoma, facial nerve schwannoma, tumors of endolymphatic sac, myelodysplastic disorders with skull base lesions) and cancers of ear / temporal bone
  • Skull base osteomyelitis of lateral skull base

What are the benefits of Sinus & Skull Base Surgery over traditional methods?

  • No visible scar and better cosmesis
  • Early mobilization
  • Day care surgery
  • Minimal post-operative pain
  • No need of head shaving or bandage
  • Early return to daily activities hence improving the quality of life of the patients.
  • Better visualization of critical structures
  • Equitable success rate but with improved and quality of life outcomes

Success Stories At Svastii

Dr Satish Nair has successfully performed over 500 endoscopic skull base surgeries in 5 years with excellent surgical and patient related outcomes. During the pandemic of COVID-19 infection, the incidence of Mucormycosis (BLACK FUNGUS) was at rise. Dr Nair had performed over 100 black fungus cases via endoscopic technique without removing the palate bone and with excellent surgical results. We at SVASTII have been working on numerous projects on the landmarks and the techniques of endoscopic skull base surgeries and the same has been published in the esteemed journal of IJOHNS. Dr Nair conducts hands-on workshops and mentors young aspirants who wish to become successful Head and Neck surgeons. We also have various ongoing studies regarding the feasibility and quality of life outcomes of endoscopic skull base surgery techniques.

Testimonials

Publications

Frequently Asked Questions

  • After waking up from the surgery you might feel a little drowsy until the anesthesia wears off.
  • Some amount of soreness can be expected for few hours.
  • There will not be any dressing. Your head and neck would be free from any bandage or dressing.
  • If you have gone through anterior skullbase surgery, your both the nostrils would be packed for 24 hours and you would need to breathe through mouth.
  • When your nose is packed, you can experience slight watering in the eye, head ache, dry mouth and some watery discharge from nose. They are expected and will settle down after removing the pack the next day.
  • If you have undergone lateral skullbase surgery, your ears would be packed with cotton wick and there might be 2-3 sutures inside the hairline above the ear.
  • You will be asked to sleep straight or towards the opposite side with surgical side facing up for few days.
  • You will be able to get up and walk around in about 4-5 hours after surgery and can eat normal food after 4 hours of surgery.
  • You will be discharged on next day in case of lateral skullbase surgery and after 2 days if you had undergone anterior skull base surgery.
  • Antibiotics and analgesics (pain killers) will be given in the form of injectable till you get discharged.
  • You will be discharged on oral antibiotics, analgesics for 5 days. You will have to apply an antibiotic ointment where sutures are present for about 7-10 days.
  • You will experience some soreness and slight pain in the operated site for 2-3 days. It is expected after surgery.
  • Few blood drops are expected for about 3-4 days
  • Clear the suture site (in case of ear surgery) with antiseptic solution and apply antibiotic ointment for 1 week
  • Keep the suture site dry.
  • You can take bath from next day. After bathing, dry the area and apply ointment.
  • You can perform all your routine activities after 2 days from surgery
  • You should refrain from lifting heavy weights / coughing / straining on stools / sneezing.
  • No smoking / drinking
  • Call us at any time if you have any other concerns.
  • You will be asked to visit us on the third day after surgery to clean the nose and the next visit after 1 week from the date of surgery in case of anterior skullbase surgery.
  • Follow up after 3 weeks from date of surgery in case of lateral skullbase surgery during which we will remove the sutures and remove the ear pack.
  • Usually only 3-4 visits after surgery is required. Call us immediately in case of any other concerns.

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