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Skullbase Surgery

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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


Ear Nose & Throat


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.

  • Neuro Surgery

    Dr. C.E Deopujari Neuro Surgeon

    Dr. Rajan Shah

    Consultant
    Dr. Rajan Shah
    Department
    Neurosurgery
    Qualification
    MBBS, MCh (Neurosurgery)

    Dr. Suneel Shah

    Consultant
    Dr. Suneel Shah
    Department
    Neurosurgery
    Qualification
    MBBS, M.S. (General Surgery), M.Ch. (Neurosurgery), FRCS (Surgical Neurology)

    Dr. Uday Andar

    Consultant
    Dr. Uday Andar
    Department
    Neurosurgery
    Qualification
    MBBS, M.Ch. (Neurosurgery)

    Dr. Vivek Agrawal

    Consultant
    Dr. Vivek Agrawal
    Department
    Neurosurgery
    Qualification
    MBBS, MS (General Surgery), M.Ch. (Neurosurgery)
Partners in care

Dr. Rajan Shah

Consultant
Dr. Rajan Shah
Department
Neurosurgery
Qualification
MBBS, MCh (Neurosurgery)
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Dr. Suneel Shah

Consultant
Dr. Suneel Shah
Department
Neurosurgery
Qualification
MBBS, M.S. (General Surgery), M.Ch. (Neurosurgery), FRCS (Surgical Neurology)
Call us Call us on 022-61305000


Dr. Uday Andar

Consultant
Dr. Uday Andar
Department
Neuro-surgery
Qualification
MBBS, M.Ch. (Neurosurgery)
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Dr. Vivek Agrawal

Consultant
Dr. Vivek Agrawal
Department
Neurosurgery
Qualification
MBBS, MS (General Surgery), M.Ch. (Neurosurgery)
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Dr. Nishit J Shah

Consultant
Dr. Nishit J Shah
Department
ENT
Qualification
MBBS, MS (ENT), DNB (ENT), DORL
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Dr. Smita Nagaonkar

Consultant & Section Co-ordinator
Dr. Smita Nagaonkar
Department
ENT
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.
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Dr. Anagha A. Joshi

Consultant
Dr. Anagha A. Joshi
Department
ENT
Qualification
MBBS, M.S. (ENT), DNB, DORL, FICS
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Dr. Vijay V. Haribhakti

Chair
Dr. Vijay V. Haribhakti
Department
Oncology
Qualification
MBBS, MS (General Surgery)
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Dr. Prabha Yadav

Director
Dr. Prabha Yadav
Department
Plastic & Reconstructive Surgery
Qualification
MBBS, MS (Plastic Surgery)
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Dr. Nitin Mokal

Consultant
Dr. Nitin Mokal
Department
Plastic & Reconstructive Surgery
Qualification
MBBS, M.S. (General Surgery), MCPS, M.Ch. (Plastic Surgery), DNB (Plastic Surgery)
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Dr. Arun B. Shah

Director
Dr. Arun B. Shah
Department
Neurosciences
Qualification
MBBS, MD (Medicine), DM (Neurology)
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Dr. Sujal S. Shah

Director & Consultant
Dr. Sujal S. Shah
Department
Ophthalmology
Qualification
MBBS, MS (Ophthalmology)
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Dr. Hemant Mehta

Chair
Dr. Hemant Mehta
Department
Anaesthesia and Pain Management
Qualification
MD,DA,MCPS
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Prof. Dr. Rahul Pandit

Chair Critical Care Reliance Foundation Hospital and all other Reliance Foundation Healthcare Initiatives
Prof. Dr. Rahul Pandit
Department
Critical Care medicine
Qualification
MD, DA, FJFICM, FCICM, FCCP, EDIC, IFCCM
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Dr. Meher Ursekar

Consultant and Division Head – Neuroradiology
Dr. Meher Ursekar
Department
Radiology & Imaging
Qualification
MD, DMRD
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Dr. Sewanti Limaye

Director
Dr. Sewanti Limaye
Department
Medical Oncology
Qualification
MBBS, MD (New York University, USA), MS (Columbia University, NY, USA)
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Dr. Prasad Raj Dandekar

Head of Radiation Oncology
Dr. Prasad Raj Dandekar
Department
Radiation Oncology
Qualification
MBBS, MD, DNB, EPGDHA, PGDIC, CPC
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Dr. Ranjeet Bajpai

Senior Consultant
Dr. Ranjeet Bajpai
Department
Radiation Oncology
Qualification
MD, DNB
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Dr. David Chandy

Director - Endocrinology & Diabetology
Dr. David Chandy
Department
Endocrinology
Qualification
MD (Internal Medicine), DM (Endocrinology)
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