Comprehensive Skull Base Program

The UAB Comprehensive Skull Base Program provides the latest in advanced care for patients with benign (non-cancerous) or malignant (cancerous) tumors in the skull base, sinuses, and brain. We offer the full range of treatment options, from open surgery to minimally invasive procedures that require only a few small incisions (cuts). We also offer extended endoscopic endonasal surgery, a technique used to remove tumors and lesions through the nose.

Other available treatment options include radiosurgery (a technique that uses radiation beams to target tumors and lesions) and proton radiotherapy (which also uses radiation but reduces the amount of radiation that reaches other parts of the body). Hormone therapy also may be used to treat tumors that respond well to it.

Listed below are some of the types of tumors and disorders we treat:

  • Acoustic neuroma/vestibular schwannoma
  • Acromegaly
  • Adenocarcinoma
  • Adenoid cystic carcinoma
  • Angiofibroma
  • Arachnoid cyst
  • Cerebrospinal fluid leak
  • Cholesterol granuloma
  • Chondrosarcoma
  • Chordoma
  • Craniopharyngioma
  • Cushing’s disease
  • Dermoid tumors
  • Encephalocele
  • Epidermoid tumors
  • Facial schwannoma
  • Fibrous dysplasia
  • Frontal sinus fractures
  • Glomus tumor
  • Hemangioma
  • Hemifacial spasm
  • Inverted papilloma¿
  • Melanoma
  • Meningioma
  • Nasopharyngeal carcinoma
  • Neurofibroma
  • Olfactory neuroblastoma
  • Optic nerve compression
  • Osteosarcoma
  • Paraganglioma
  • Petroclival lesions
  • Pituitary apoplexy
  • Pituitary tumors
  • Rathke's cleft cyst
  • Rhabdomyosarcoma
  • Sinus and skull base tumors
  • Squamous cell carcinoma
  • Superior semicircular canal dehiscence
  • Trigeminal neuralgia
  • Tumors of the inner ear

 

PODCAST: Multidisciplinary Skull Base Surgery: A Team Approach Part I

Winfield Fisher, MD | Erika Walsh, MD — In part one of this series on skull-based surgery, Winfield Fisher MD and Erika Walsh MD lead a discussion of the complexity of lateral skull base surgery and the benefit of a team approach. Including discussion of disease processes treated, types of preoperative evaluations, surgical techniques, and referral process

Why UAB

UAB Medicine is a leader in skull base tumors and disorders, and we offer direct scheduling for the convenience of our patients. The UAB departments of Neurosurgery and Otolaryngology (ear, nose, and throat, or ENT) work together to provide excellent results using the least-invasive methods possible. UAB is the only medical center in Alabama and one of only a few in the region with a Proton Therapy Center, which precisely targets radiation to tumors of the skull base while reducing the amount of radiation that reaches other areas of the body. Also, UAB is the only medical center in the region that treats frontal sinus fractures endoscopically, using minimally invasive approaches.

We work closely with other medical areas, such as the UAB Department of Endocrinology and the UAB Pituitary Disorders Clinic, as well as the Department of Radiation Oncology, which is staffed by radiation oncologists who are the most experienced in the region in treating complex skull base tumors. Our program features board-certified neuroradiologists and neuropathologists who have extensive experience in evaluating patients with skull base disease. Our patient care is supported by in-house audiologists, vestibular rehabilitation specialists (experts in improving balance and reducing dizziness), and speech and language experts.

 
 

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