Skull Base Surgery in New York, NY
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Contact UsWhat 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.
Dr. Raymond Sekula Reviews
Dr. Sekula was my second opinion for TN, and after our first telehealth visit, I immediately knew he was the one to perform my MVD. I have a son, age 34, who is medically complex with multiple special needs (7 brain surgeries). For 34 years, we have met with many neurosurgeons. Dr. Sekula is, by far one of the top neurosurgeons I have ever encountered. He possesses patience, kindness, and an intense passion for his work. He is also an excellent communicator and even adds a little humor, as a bonus! The day after surgery, he came into my room and said, "Let's go for a walk." (rare for any doctor). His staff, Caroline and Brianna, are extremely knowledgeable and friendly. They are excellent with callbacks to address concerns and/or questions. I am 3 weeks post-op with all restrictions lifted and I am thrilled to report that I can once again, wash my face, blow my nose and, brush my teeth without pain! Dr. Sekula truly listened to me when I told him I needed to get back to my normal baseline before TN, to continue my main job, which is to take care of my son's needs. Dr. Sekula is a good man and a gentle soul. God Bless him forever! A truly thankful patient, Karen Wallace
I found Dr. Sekula and his staff to be wonderful. I had brain surgery with Dr. Sekula for Hemi-facial spasm and woke up spasm free. It's not a light decision to have brain surgery, having an incredibly experienced surgeon who answered all my questions truthfully and outlined all the risks clearly was such a blessing. I appreciated that he was confident and optimistic while also being honest about all the possible risks. He didn't down play them and made sure I understood them. His office was so friendly and organized and made the process as easy as possible. After surgery, Dr. Sekula make the effort to personally check in on me and tell me how the surgery went first hand. Anyone suffering from Hemi-facial spasm will understand how much having a successfully curative surgery means. This was life changing for me and I'm so grateful for Dr. Sekula's excellent dedication to his practice.
Dr Sekula and his staff have been very helpful and professional discussing my medical condition. They are a pleasure to deal with and always willing to answer any questions I might have and listening to my concerns. Thank you to Dr Sekula and his entire staff!
I was referred to Dr. Sekula after suffering with Trigeminal Neuralgia for five years. He listened thoughtfully to my history and reviewed my MRI. He recommended surgery and discussed his reasoning with me. I underwent the surgery and woke up post operatively pain free. I will be eternally greatful to Dr. Sekula. It felt like a miracle, but Dr. Sekula's clinical and surgical skills created this "miracle" for me. I cannot thank him enough. I must also thank Dr. Sekula's NP, Caroline Gacka, for her attentive response to any question I had.
I cannot express enough how grateful I am to Dr. Sekula and his incredible team for the care I received during and after my Microvascular Decompression (MVD) surgery. After extensive research, visiting multiple neurologists and neurosurgeons, and being at the end of my rope, I was so thankful to have found Dr. Sekula to perform my surgery. I was isolating myself for few years due to my condition and Dr. Sekula’s experience, extensive resume, and general care and concern made it very easy for me to finalize my decision and go with the surgery. I am happy and thankful that I was able to be one of his patients. His expertise gave me the confidence I needed going into the surgery. I had to travel for the surgery and after spending a couple days in the hospital, I came back home. Dr. Sekula and his staff were incredibly attentive during my recovery at home. They made sure to follow up MORE than regularly with phone/video calls to check on my progress, offering advice and adjusting medications as needed to ensure I was comfortable and healing properly. Their personalized care and genuine concern for my well-being made all the difference. It truly felt like I am his only patient. I highly recommend Dr. Sekula and his staff for anyone considering MVD surgery and will absolutely promise that you’ll be in the best hands.
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What Are the Benefits of Skull Base Surgery?
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
Learn More About Neurological Institute of NY
About UsSchedule An Appointment Today
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.
Skull Base Surgery FAQs
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.