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Neurosurgeon Michael Petr offers the latest techniques to minimize surgical approaches to the anterior and middle skull base. Historically, surgical approaches to the anterior and middle skull base have required large incisions and bone openings for tumor resections and repair of spinal fluid leaks. Past less invasive approaches via the nose have resulted in destruction of anatomy inside the nose and significant post-op pain and even lose of the sense of smell.
The latest technology includes combining the currently used computer guidance with a transnasal endoscopic approach. This way, the internal anatomy and function of the nose is preserved. The improved view via a single nostril with an endoscope allows for surgery all the way to the center of the brain. This view could never be obtained with microscopes and traditional approaches.
These procedures are performed by a team that includes a Neurosurgeon and ENT who have trained together for skull base surgery: