Treatment Options

The Skull Base and Cranial Base Surgery Program at Mount Sinai provides comprehensive, personalized care for lesions and tumors at the base of the brain. Generally, these conditions are treated by a surgical procedure called open craniotomy or a minimally invasive surgical procedure called the endoscopic endonasal approach. Each option has benefits, which are best discussed with your team of specialists after your imaging has been assessed.

  • Open Craniotomy – an operation to open the skull (cranium) in order to access the brain for surgical repair.
  • Endoscopic Endonasal Approach – a minimally invasive surgical procedure to reach lesions of the skull base and top of the spine by operating through the nose and sinuses. Our team uses specially designed tools, an endoscope with a light and a lens for viewing and transmitting images, to safely remove the lesion.

Regardless of the lesion type, the Endoscopic Endonasal Approach can be used to remove selected tumors based on anatomy, morphology (shape) and extent of disease.

Personalized Care for Skull Base Tumors

The collective experience of our multidisciplinary team at Mount Sinai allows for a creative treatment approach to complex skull base tumors. Collaboration extends from pre-surgical planning to the operating room. With complementary skills and the assistance of enhanced intraoperative imaging, Joshua Bederson, MD, Chairman of Neurosurgery and Professor of Neurosurgery and Eric M. Genden, MD, Professor and Chair, Department of Otolaryngology, have learned to operate in the same surgical field, often working in concert during exposure and resection.

The team of specialists will come up with a personalized treatment plan to meet your needs. Treatment plans can be tailored depending on the following factors:

  • Location of the lesion
  • Size of the lesion
  • Type of lesion
  • Direction of lesion growth
  • Symptoms
  • Health of the patient
  • Previous treatment (surgery, radiation, chemotherapy)
  • Patient / Family choice
  • Whether a biopsy or complete lesion resection is planned

Once we have developed a treatment plan that is right for you, we will discuss the pros and cons–what to expect. Once you give us your permission to proceed, we work with our staff at Mount Sinai to set a date for your treatment to begin and move ahead quickly.