Case Studies
TYMPANOJUGULAR PARAGANGLIOMA – CAREFUL COMPLETE BLOODLESS DISSECTION OF THE TUMOR IS THE MANTRA; DURATION OF SURGERY IS IRRELEVANT!!
Case Studies
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Tumors of the Base of the Skull are no longer treated by traditional craniotomies that often leave the patient with debilitating consequences due to the surgical approach in addition to the disease itself. The modern specialty of Skull Base Surgery has changed the way such pathologies are dealt with by being minimally invasive and hence maximally preservative of the nerves, vasculature, and the brain. At Bangalore Skull Base Institute we bring these solutions for unfortunate patients suffering from a pathology of the Skull Base. Modern Skull Base Surgery also ensures complete rehabilitation solutions to hearing, facial and other neuropathies resulting due to the disease
The Bangalore Skull Base Institute is passionately committed to advancing the field of Skull Base Surgery through innovation, research, and education. We integrate advanced technology with personalized care, resulting in a patient experience designed for healing. With state-of-the-art facilities to ensure the highest standards of scientific excellence, BSBI is dedicated to restoring and improving human life while maintaining uncompromising values of quality, compassion, ethics, and integrity. Our team is brought together by the common goal of providing the best possible care and treatment to their patients with Skull Base disorders. BSBI brings together a multidisciplinary team of ENT surgeons, Head & Neck Surgeons, Facial Plastic surgeons, Neurosurgeons, Radiotherapists, Chemotherapists, Speech & Language Pathologists and other support staff who provide innovative, individually tailored treatments for all types of Skull Base pathologies. The team will ensure the best standard of care and infrastructure in our center and all our affiliated hospitals. Our team is trained to deal with the following areas and pathologies
Anterior Skull Base Surgery
Endoscopic transnasal surgeries
Tumors that grow in the base of the skull—behind the eyes and nose—are some of the most challenging to treat. These tumors grow in an area that is very close to critical nerves and blood vessels in the brain, head, neck and spinal cord. Even benign (non-cancerous) tumors of the skull base can cause serious complications, such as vision or hearing loss and effects on growth, hormone production, fertility or balance. Fortunately, new minimally invasive surgical techniques have been developed in the last decade that make the removal of many skull base tumors possible without large and potentially dangerous incisions in the face or head. Using endoscopic instruments and neuronavigation, surgeons can now remove some tumors through the nostrils or through tiny incisions in the eyebrow or the back of the ear. At BEIRC, we are dedicated to the safest, most comprehensive treatment and removal of skull base tumors. Our highly skilled surgeons have extensive experience in both open and minimally invasive endoscopic surgery. A multi-disciplinary approach to these conditions ensures that a whole team of neurotologists, rhinologists, radiation oncologists, neurosurgeons, medical oncologists, pathologists, and therapists will work towards the best possible outcome for your surgery. We deal with Pituitary Adenomas, Olfactory neuroblastomas (esthesioneuroblastomas), Sino-nasal malignancies, Craniopharyngiomas, Juvenile Nasopharyngeal Angiofibromas, Inverted Papillomas, Sino-nasal mucoceles, Chondroma Chondrosarcoma, Chordoma, Rathke’s cleft cyst, Cerebrospinal fluid (CSF) leak, Encephaloceles and Fibrous dysplasias
Hearing Implantology
Cochlear & Other Implants
Cochlear implants are one of the most amazing medical advances of the past century. By bypassing the diseased inner ear and directly stimulating the hearing (cochlear) nerve, nearly all forms of severe to complete hearing loss can be treated. The Cochlear Implant Program at BEIRC combines the experience of the world’s leading experts in hearing loss with access to the latest technological breakthroughs. Our multidisciplinary team includes subspecialty trained surgeons in otology/neurotology and pediatric otolaryngology, audiologists, hearing scientists, genetics specialists, neuroradiologists, and a dedicated cochlear implant coordinator. With our program of speech therapy and training in listening, language and speech-reading skills, we can help you or your child make the most of your cochlear implant. For most children and many adults, this means understanding speech, talking on the telephone, and successfully participating in school and play. We perform the entire gamut of Implantation surgeries like Cochlear Implantation, Auditory Brainstem Implantation, Bone Anchored Hearing Devices, Active Middle Ear Implants, Hearing aids, Speech and language rehabilitation support
Lateral Skull Base Surgery
Microscopic key hole surgeries
The term “skull base” refers to the gap between the bottom of the brain and the part of the skull that is directly below it. Within the skull base are the blood vessels that supply the brain with nutrients and oxygen, as well as nerves that are critical to functions such as vision, smell, hearing, facial movement and breathing. The “lateral skull base” is one specific area of the skull base, located at the side of the skull. This portion of the skull base includes structures called the temporal bone, infratemporal fossa, clivus, and middle and posterior fossae. Tumors at the lateral skull base can pose a particular risk to the brain stem, which connects the brain to the spinal cord. This is a delicate and important part of the body’s neurological system. Advanced surgical techniques can be used to operate on tumors in this part of the skull base without needlessly disrupting the brain. Lateral skull base surgery can be completed either endoscopically or using a microsurgical approach, and can be used to treat conditions like meningiomas, acoustic neuromas, glioma tumors , encephaloceles , cholesteatomas, schwannomas, and glomus tumors. Abnormal tissue is removed in small pieces, often allowing for complete resection of the tumor. During surgery, a neurophysiological monitoring system tracks electrical activity within the brain to ensure that brain functioning remains healthy throughout the operation. At BEIRC, our multi-disciplinary team has extensive experience in lateral skull base surgery. Our team of surgical experts specialize in this type of complex procedure and have achieved excellent outcomes for patients from all over the country.Vestibular Schwannomas (Acoustic Neuromas), Trigeminal Neuromas and Neuralgias, Facial Nerve Neuromas, Posterior Cranial Fossa & Sphenopetroclival Meningiomas, Lower Cranial Nerve Schwannomas, Chordomas, Chondrosarcomas, Petrous Bone Cholesteatomas, Petrous Apex Cholesterol Granulomas, Giant Cell tumors, Temporal Bone Malignancies, Skull Base Paragangliomas (Tympanojugular Paragangliomas), Skull Base Rhabdomyosarcomas
Head & Neck Oncosurgery
Transoral Laser & Robotic surgeries
It is a sub-speciality in ENT that deals with the study of tumours involving the oral cavity, larynx (voice box), pharynx (food pipe), salivary glands, thyroid, nose, paranasal sinuses and soft tissue tumours of the neck. Our surgeons collaborate closely with medical and radiation oncologists to customize the most appropriate plan of therapy for each patient's particular treatment needs. We are deeply committed to providing our patients with comprehensive, personal care from diagnosis to treatment, to rehabilitation and follow-up. Our surgeons take a minimally invasive approach to head and neck cancer surgery whenever possible including endopscopic and robotic approaches to difficult areas. Our head and neck reconstructive surgeons have specialized training and exceptional experience in facial reconstructive surgery. The goal of treatment is to provide therapy that is as effective as possible for eradicating the cancer while preserving your appearance and function, minimizing the effects on your quality of life.
Facial Plastics
Facial nerve reanimation, grafting and facelifts
Facial plastic surgery is performed to reshape structures in the head and neck — typically the nose, ears, chin, cheekbones, and neckline. People seeking this surgery may be motivated by a desire to reconstruct the face after an injury, disease, or birth defect. Correcting facial flaws and signs of aging with facial plastic surgery can greatly improve your confidence and self-esteem. When you choose to take this step, you'll want the care and expertise of a skilled, board-certified, and highly experienced medical team. At BEIRC, we are passionate about helping you achieve your aesthetic goals. When defects are due to birth, trauma, or illness, facial reconstructive surgery can be critical to your recovery, helping to rebuild your face and return to full functionality. Our reconstructive specialties include a congenital and craniofacial pediatric surgery program that helps young patients struggling with facial disfigurements. Our team will work closely with you to achieve the natural results you are looking for. Our surgeons are highly skilled, dual board-certified otolaryngologists and facial plastic surgeons with subspecialized expertise in facial plastic and reconstructive surgery of the head and neck region only. We have extensive experience with both adult and pediatric facial surgery and use the most current techniques and procedures to help you towards a quick recovery and pleasing results.