Dr Nadir KanaENT Surgeon
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Skull base surgery

The skull base lies just above the nose and sinuses. Many conditions there can be reached through the nose with an endoscope, with no cut on the face.

Best seen at
Milpark
The lateral wall of the nasal cavity

What it treats

Leaks of the fluid around the brain (CSF leaks) through the nose, tumours of the nose and sinuses that reach the skull base, and some tumours of the pituitary region, often working together with a neurosurgeon.

What happens

Under general anaesthetic, an endoscope passed through the nostrils gives a magnified view. Image guidance, which matches instruments to your CT or MRI scan in real time, is used where needed. The skull base is then repaired with your own tissue.

Recovery

Usually a few nights in hospital. For several weeks you should avoid straining, heavy lifting and blowing your nose. Follow-up visits check that the repair has healed.

Common questions

Is this done with a neurosurgeon?

For some conditions, yes. Dr Kana will tell you who is involved in your care.

How long until I can fly?

Longer than after routine sinus surgery. Your flight home should be planned with Dr Kana.

This page is general information, not medical advice for your situation.

Other treatments

Netcare 911 helicopter in flight

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