Skull Base Tumor Surgery (Epidermoid, Chordoma, Schwannoma)
The skull base is the floor of the cranial cavity where the brain meets the face and neck, crowded with cranial nerves and major arteries. Tumors here — epidermoid cysts, chordomas, chondrosarcomas, cranial nerve schwannomas and skull base meningiomas — need approaches that reach the tumor without retracting the brain.
Dr. Daggubati uses endoscopic endonasal corridors, keyhole craniotomies and combined approaches with ENT colleagues to reach these tumors through natural openings and small incisions.
Symptoms
- Facial numbness or pain
- Double vision
- Hearing loss or imbalance
- Swallowing or voice changes
- Headaches
How it is diagnosed
MRI and CT with fine-cut imaging of the skull base; sometimes CT angiography.
Treatment options
Without surgery
Observation for slow-growing lesions; radiosurgery or proton therapy for selected tumors.
Surgical options Dr. Daggubati offers
Common questions
Is an epidermoid cyst cancer?
No. Epidermoid cysts are benign, slow-growing collections of skin-type cells present from birth. They cause problems by pressing on nerves, not by spreading.
Do skull base tumors always need surgery?
No. Many are watched with periodic MRI, and some are treated with focused radiation. Surgery is recommended when a tumor is growing, causing symptoms, or threatening a cranial nerve or the brainstem.
What does recovery from skull base surgery look like?
It varies with the approach. Endonasal surgery usually means one to two nights in hospital and nasal congestion for a few weeks. Keyhole approaches behind the ear typically mean two to four nights, with headache and fatigue settling over several weeks.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.