The anterior Skullbase encompasses the nasal and sinus cavities in relation to the brain, situated at the underside of the brain or the roof of the nasal cavity and sinuses, extending to the upper vertebrae of the spinal column. The lateral Skullbase includes the inner ear areas in relation to the brain.
Evaluating, diagnosing, and treating various conditions including benign or cancerous growths at skullbase require a highly specialized approach.
Endoscopic Endonasal Skullbase Surgery
Endoscopic endonasal Skullbase surgery is a minimally invasive technique used to access and treat conditions affecting the pituitary gland and the Skullbase . This approach offers several benefits over traditional open surgery, including reduced pain, faster recovery, shorter hospital stays, and improved cosmetic outcomes. It also minimizes the risk of damage to surrounding structures such as nerves, blood vessels, and brain tissue.
Sir H.N. Reliance Foundation Hospital for Endoscopic Skullbase Surgery
Led by Dr. Nishit Shah from the Department of Otorhinolaryngology (ENT) along with the Department of Neurosurgery, the HN Reliance Centre for Endoscopic Skullbase Surgery is a renowned centre of excellence. It specializes in both endoscopic endonasal and transcranial microscopic approaches to the Skullbase and brain.
Multidisciplinary Team of Distinction
Our team includes experts from various specialties:
- Neurosurgery
- ENT
- Head and Neck Oncosurgery
- Rhinology
- Otology/Neurotology
- Oral Maxillo-Facial Surgery
- Plastic and Reconstructive Surgery
- Ophthalmology
- Anaesthesiology
- Intensivists
- Radiology/Neuroradiology
- Radiation Oncology
- Neurology
- Endocrinology
- Pathology
- Medical Oncology
Innovative Techniques and Treatments
The Sir H.N. Reliance Foundation Hospital for Cranial Base Surgery leads the field in minimally invasive nasal, sinus, and brain surgery by developing new techniques, tools, and approaches. These innovations make it possible to access many tumours, regardless of size. The team combines this innovative approach with other minimally invasive techniques such as transorbital and endoscopic-assisted retromastoid and keyhole approaches. The full complement of standard Skullbase approaches provides a comprehensive array of options for cutting-edge treatment of Skullbase diseases such as pituitary tumours, CSF leaks, and other cranio-nasal tumours.
Common Symptoms
These include headache, vision disturbances, watery nasal discharge, hormonal imbalances, persistent nasal blocking or bleeding, reduced smell sensation. Some of the conditions causing these symptoms are listed below
Conditions Treated
Some conditions treated by Skullbase surgery include:
- Cerebrospinal fluid fistulas (CSF leaks)
- Pituitary tumours
- Meningiomas (tumours growing from the meninges)
- Chordomas (slow-growing bone tumours at the Skullbase )
- Craniopharyngiomas (tumours near the pituitary gland, often seen in younger individuals)
- Nasal masses involving the roof of the nose and sinuses
- Malignant tumours from the nose or Skullbase
- Congenital cysts
- Lesions caused by infections
- Cerebral aneurysms
Diagnostic Tools and Surgical Planning
MRI and CT scans are crucial for diagnosing and formulating treatment plans. The team collaborates with patients and their relatives to create a tailored surgical plan that best addresses the individual’s needs. The concept of team surgery allows us to evaluate various options and select the optimal approach for each tumour, ensuring the best surgical outcome while preserving function and minimizing side effects.
Teaching and Knowledge Sharing
The Sir HN Reliance Centre for Skullbase Surgery is also a major teaching hospital with residents and fellows in each department. Our faculty teach CME courses across India and internationally, featuring lectures, live surgery, and hands-on laboratory surgical skills. Surgeons from around the world visit, communicate, and share knowledge with our faculty.
Advanced Equipment and Technology
Our Skullbase team combines experience and expertise with the latest equipment and technological advancements in endoscopic nasal and Skullbase procedures. This includes robotic systems, navigation (IGS), and 4K optical systems to provide the safest and most effective surgeries for our patients.
Our Experts
Neuro Surgery
Dr. C.E Deopujari Neuro Surgeon
Ear Nose & Throat
Dr. Jehaan Wadia
Consultant
Surgical Oncology
Plastic, Reconstructive & Maxillo-facial Surgery
Neurology
Opthalmology
Anaesthesia and Pain Management
Critical Care Medicine
Radiology & Imaging
Medical Oncology
Radiation Oncology
Endocrinology
For all any Medical Enquiries or to book an appointment, please call:
1-800-221-166/ 1800-8901111/ 022 35475757/ +91 9324947776
At Sir H. N. Reliance Foundation Hospital, we prioritize patient-centric care, ensuring a seamless healthcare experience for international patients. Our International Patient Services department offers 24*7 customized services and personal attention to international patients, ensuring that their medical needs are met with the utmost care and attention.
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Neuro Surgery
Dr. C.E Deopujari Neuro Surgeon
Dr. Rajan Shah
Consultant
Qualification
MBBS, MCh (Neurosurgery)
Dr. Suneel Shah
Consultant
Qualification
MBBS, M.S. (General Surgery), M.Ch. (Neurosurgery), FRCS (Surgical Neurology)
Dr. Uday Andar
Consultant
Qualification
MBBS, M.Ch. (Neurosurgery)
Dr. Vivek Agrawal
Consultant
Qualification
MBBS, MS (General Surgery), M.Ch. (Neurosurgery)
Partners in care
Dr. Rajan Shah
Consultant
Qualification
MBBS, MCh (Neurosurgery)
Dr. Suneel Shah
Consultant
Qualification
MBBS, M.S. (General Surgery), M.Ch. (Neurosurgery), FRCS (Surgical Neurology)
Dr. Uday Andar
Consultant
Qualification
MBBS, M.Ch. (Neurosurgery)
Dr. Vivek Agrawal
Consultant
Qualification
MBBS, MS (General Surgery), M.Ch. (Neurosurgery)
Dr. Nishit J Shah
Consultant
Qualification
MBBS, MS (ENT), DNB (ENT), DORL
Dr. Smita Nagaonkar
Consultant & Section Co-ordinator
Qualification
- MBBS, MS (ENT and Head-Neck Surgery), DNB (Otorhinolaryngology and Head and Neck surgery)
Established DNB programme program and is has strong academic commitment, being a teacher for national board of examination.
- Established ENT set up at departmental services mayo private and hunter new England area New South Wales Australia.
- Completed successfully Quality control, six sigma and Medicolegal diplomas in pursuit of Diploma in Health Administration.
Dr. Anagha A. Joshi
Consultant
Qualification
MBBS, M.S. (ENT), DNB, DORL, FICS
Dr. Vijay V. Haribhakti
Chair
Qualification
MBBS, MS (General Surgery)
Dr. Prabha Yadav
Director
Department
Plastic & Reconstructive Surgery
Qualification
MBBS, MS (Plastic Surgery)
Dr. Nitin Mokal
Consultant
Department
Plastic & Reconstructive Surgery
Qualification
MBBS, M.S. (General Surgery), MCPS, M.Ch. (Plastic Surgery), DNB (Plastic Surgery)
Dr. Arun B. Shah
Director
Qualification
MBBS, MD (Medicine), DM (Neurology)
Dr. Sujal S. Shah
Director & Consultant
Qualification
MBBS, MS (Ophthalmology)
Dr. Hemant Mehta
Chair
Department
Anaesthesia and Pain Management
Prof. Dr. Rahul Pandit
Chair Critical Care Reliance Foundation Hospital and all other Reliance Foundation Healthcare Initiatives
Department
Critical Care medicine
Qualification
MD, DA, FJFICM, FCICM, FCCP, EDIC, IFCCM
Dr. Meher Ursekar
Consultant and Division Head – Neuroradiology
Department
Radiology & Imaging
Dr. Sewanti Limaye
Director
Department
Medical Oncology
Qualification
MBBS, MD (New York University, USA), MS (Columbia University, NY, USA)
Dr. Prasad Raj Dandekar
Head of Radiation Oncology
Department
Radiation Oncology
Qualification
MBBS, MD, DNB, EPGDHA, PGDIC, CPC
Dr. Ranjeet Bajpai
Senior Consultant
Department
Radiation Oncology
Dr. David Chandy
Director - Endocrinology & Diabetology
Qualification
MD (Internal Medicine), DM (Endocrinology)