Skull Base Surgery in New York, NY

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What is Skull Base Surgery?

Dr. Raymond Sekula performs skull base surgery to address abnormalities at the bony surface beneath the brain. The skull base, housing many vital structures and separating the brain from facial features, is divided into three regions: the anterior cranial fossa, the middle cranial fossa, and the posterior cranial fossa, each at different levels. This region is critical as it contains the brainstem, which connects the brain and spinal cord and controls vital functions, and the cerebellum, which is responsible for coordination and balance. Historically challenging to access, surgical advances and improved neuroimaging now allow for effective treatment of skull base abnormalities with ongoing advancements leading to less invasive procedures. Techniques include traditional craniotomy, which can now be performed minimally invasively, and transsphenoidal surgery, a procedure done through the nostrils or inside of the mouth with an endoscope, allowing for small and usually invisible incisions. To learn more about skull base surgery, contact Dr. Raymond Sekula at his office inside The Neurological Institute of New York in New York, NY.

What Can I Expect after Skull Base Surgery?

Skull base surgery may be performed by Dr. Sekula when a brain abnormality is found near the skull base. Conservative options, such as medication, are usually considered first, but surgery usually becomes the primary treatment to address the abnormality. Patients who undergo transsphenoidal surgery typically stay in the hospital for 1 – 2 days while those who undergo a craniotomy may stay around one week. After surgery, Dr. Sekula provides specific instructions to aid recovery, including prescribed medications, activity restrictions, and scheduling follow-up appointments to assess the patient's progress and determine if further treatment is needed.

I had a zoom meeting set up in the afternoon with Dr. Sekula. He was scheduled to do an operation & was afraid it might run into my meeting so he called me first thing in the morning to see how I was feeling & if I needed anything. Besides being an excellent surgeon, he makes you feel very comfortable.

V.C. Google

I weny for a visit with my husband who is suffering from Trigeminal neuralgia. Dr. Sekula was very warm and caring. We really appreciated detailed explanations of upcoming surgery.

B.S. Google

He willing to listen to patients concerns during the follow up visit.

S.L. Google

Best doctor ever. Very knowledgeable to your condition. I appreciate his services. He has had me pain free. No other doctor knew how to manage my condition. Im happy 😊

N.R. Google

Dr. Sekula and his team continue to impress me. A year and a half after surgery, I continue to enjoy wonderful results from the MDV surgery. They are supportive and accessible. Can't say enough about them! Thank you!

V.D. Google

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Skull base surgery has evolved significantly, offering patients effective treatment options for abnormalities located at the base of the skull. Advancements in surgical techniques and neuroimaging have led to less invasive procedures with improved outcomes. Benefits of this surgery include:

  • Precise access to hard-to-reach areas of the skull base and brain
  • Minimally invasive techniques that reduce recovery time
  • Preservation of critical structures, such as nerves and blood vessels
  • Lower risk of complications compared to open surgery
  • Effective treatment for tumors, cysts, and vascular abnormalities
  • Improved symptom management and overall quality of life

Am I a Candidate for Skull Base Surgery?

Candidates for skull base surgery typically have abnormalities affecting the bony surface beneath the brain, such as tumors, vascular malformations, cysts, or congenital defects. Since this region houses vital structures, including the brainstem and cerebellum, surgical intervention is usually recommended when these abnormalities cause symptoms like persistent headaches, vision or hearing changes, balance issues, or neurological deficits. In some cases, patients with cerebrospinal fluid (CSF) leaks or certain infections affecting the skull base may also require surgical treatment.

Dr. Sekula evaluates candidacy based on the specific location and type of abnormality within the anterior, middle, or posterior cranial fossa. Ideal candidates are generally in good overall health and able to tolerate surgery, whether through a minimally invasive transsphenoidal approach or a traditional craniotomy. Those with complex conditions requiring specialized care may benefit from advanced neuroimaging and surgical techniques that allow for safer, more effective procedures. A consultation with Dr. Sekula at The Neurological Institute of New York can determine whether skull base surgery is the right option based on individual symptoms and treatment goals.

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If you are facing a brain abnormality near the skull base, trust in the skill and compassionate care of Dr. Raymond Sekula in New York, NY. Whether it's exploring conservative treatment options or moving forward with surgery, Dr. Sekula ensures personalized care every step of the way. Don't let uncertainty loom over your health; schedule a consultation today at his office in The Neurological Institute of New York to better understand your options.

How does the location of the skull base condition affect potential complications?

The location of the condition within the skull base can significantly influence the type and severity of potential complications. For example, conditions near cranial nerves may increase the risk of nerve damage, leading to issues such as facial weakness, hearing loss, or difficulty swallowing. Similarly, conditions close to major blood vessels can increase the risk of bleeding or stroke. The surgical team carefully considers these factors when planning the procedure to minimize complications.

What are the advancements in technology that have improved skull base surgery?

Recent advancements in technology have greatly enhanced the safety and effectiveness of skull base surgery. Innovations such as intraoperative MRI, neuronavigation systems, and high-definition endoscopes allow surgeons to perform procedures with greater precision. These technologies help reduce the risk of complications, improve surgical outcomes, and allow for more complex conditions to be treated successfully. Additionally, advancements in anesthesia and postoperative care have contributed to faster recovery times and better overall patient experiences.

What are the common conditions treated with skull base surgery?

Skull base surgery is used to treat a variety of conditions, including benign and malignant tumors, cerebrospinal fluid leaks, vascular anomalies, and certain congenital defects. These conditions can affect vital structures such as the brain, cranial nerves, and major blood vessels, making surgical intervention necessary. Skull base surgery is also used to treat infections and inflammatory diseases that can affect the area.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.