Cranial (Skull) Base Surgery

Clinical Services: Ear, Nose and Throat (ENT; Otolaryngology - Head and Neck Surgery)
1.
Upper East Side
1305 York Avenue, 5th Floor
New York, NY 10021
P: 646-962-3681

NewYork-Presbyterian Hospital/Weill Cornell Medical Center has long been regarded as one of our nation's leading institutions in the care of the complicated patient. This tradition has continued in the field of cranial base surgery. Technological and surgical advances has made treatment of cranial base tumors a reality.

Multidisciplinary Approach

The foundation of successful treatment of the patient with a cranial base tumor is a multidisciplinary approach to their complex problems. The Consortium on Cranial Base Surgery is composed of neurosurgeons, neurotologists, head and neck surgeons, neurophysiologists, neuroanesthesiologists, neuroradiologists, plastic and reconstructive surgeons, and maxillofacial surgeons. Each of these subspecialsists bring their own specific expertise in the care of the patient with a cranial base lesion.

Cranial Base Tumors

Cranial base tumors arise in or impinge upon the bony cranium. They may arise:

  • Beneath the cranial base and ascend to it, as in squamous cell carcinomas of the head and neck, paranasal sinus tumors, or esthesioneuroblastomas
  • Within the bones of the cranial base, as in acoustic neuromas, pituitary tumors, glomus tumors, or temporal bone petrous apex cholesterol granulomas. [Learn more about treatment of acoustic neuromas.]
  • Above the cranial base and extend interiorly to involve the cranial base through bony erosion, as in meningiomas, chordomas or sarcomas.
The surgical approaches that are used in the treatment of these patients include anterior, middle and posterior fossa craniotomies, craniofacial resections and craniotomies through the temporal bone (translabyrinthine, transcochlear and infratemporal fossa ). In addition, transcervical and transfacial routes are often employed.
 
Multichannel Intraoperative Neural Monitoring

The Consortium on Cranial Base Surgery utilizes sophisticated Intraoperative Neural Monitoring to maximize postoperative cranial nerve function. Simultaneous four channel cranial nerve monitoring is individually adapted to each specific surgery. Capabilities include motor nerve monitoring through electromyography, and sensory monitoring by auditory brainstem evoked responses (ABR) and somatosensory evoked potentials (SSEP). A physician neurophysiologist is in the operating room during surgery, and plays an integral role in intraoperative patient care.

200-Year Tradition of Excellence

Although the field of cranial base surgery has only recently evolved, our medical center boasts a 200-year tradition of excellence in patient care, education and leadership in medicine. Be assured that patients will continue to benefit from the excellence of this institution.

Our Healthcare Providers
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George Alexiades, M.D.
George Alexiades, M.D.
Otolaryngology  
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Samuel H. Selesnick, M.D.
Samuel H. Selesnick, M.D.
Otolaryngology  
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Philip E. Stieg, Ph.D., M.D.
Philip E. Stieg, Ph.D., M.D.
Neurological Surgery  
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