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Diseases of the skull base are rare but potentially life threatening disorders. Treatment is challenging due to the complex anatomy of the cranial base. Diseases in this area include benign and malignant tumors (cancers), infections, birth defects and complicated head trauma.
Diseases can affect the function of the brain or complex senses such as hearing, vision, hearing and balance. Due to the complex nature of the skull base disease, University of Maryland Medicine has created a center to offer the most up-to-date diagnostic and treatment modalities.
Many different tumor types originate from or extend into the base of the skull, which is the sloped area behind the eyes and nasal cavities that forms the "floor," or base of the skull. The spinal cord, multiple nerves and the major blood vessels of the brain and head and neck pass through holes (foramina) in the skull base.
Not all tumors in the skull base are malignant. But even benign tumors can cause symptoms or threaten the health and well-being of the patient.
Because of their location and proximity to other vital structures, skull base tumors present unique challenges for surgeons. Recent advances in diagnostic and surgical techniques have made the area more accessible to surgery, providing new treatments for these patients.
Skull base tumors can be classified based on their specific location in the head (the tumor site) or based on the cell structure and identifying characteristics of the tumor (the tumor type). Tumors of the skull base can occur within various anatomic sites. Following is a list of the most common locations for skull base tumors.
Symptoms
Skull base tumors produce few symptoms until they grow large enough, and symptoms vary greatly depending on the specific location and growth rate of each tumor type.
Symptoms may include : -
Facial pain or numbness
Headache
Recurrent sinusitis
Cranial nerve palsies
Nasal obstruction
Shortness of breath
Hoarseness
Hearing loss
Tinnitus (ringing in the ears)
Endoscopic Surgery of the Skull Base
The skull base surgery team is well recognized for its expertise in endoscopic surgery. Transnasal endoscopic microsurgery is a technique where surgeons work through the nose using endoscopic telescopes to remove tumors of the skull base and the base of the brain without the need for facial incisions or a craniotomy. This prevents brain retraction and the significant side effects associated with open procedures. Patients are often discharged without incisions or sutures.
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