Skull Base Surgery Center
We bring together neurosurgeons, otolaryngologists, neurologists, neuro-opthalmologists and oculoplastic surgeons to care for patients with tumors along the skull base, ear and orbit. Minimally invasive endoscopic skull base and pituitary surgery is performed when possible.
Individuals with complex lesions requiring interdisciplinary services are particularly well-suited.
The following are examples:
- Meningiomas
- Acoustic neuromas
- Chordomas
- Glomus tumors
- Epidermoids
- Angiofibromas
- Pituitary tumors
- Orbital tumors
- Temporal bone tumors
- Cholesterol granulomas
- Esthesioneuroblastomas
- Cavernous sinus tumors
- Schwannomas
- Craniopharyngiomas
- Dermoids
Neurosurgeons
Carl B. Heilman, MD
Julian K. Wu, MD, FACS
James Kryzanski, MD
Kevin Yao, MD
Skull base and pituitary disorders are treated by a multidisciplinary clinical service with a team of specialists. We specialize in the treatment of skull base disorders utilizing endoscopic techniques, including endoscopic pituitary surgery. Tufts Medical Center provides state-of-the-art diagnostic and therapeutic expertise in all aspects of endocrinology, neuroradiology, neuroophthalmology, surgery, and radiation therapy for pituitary and hypothalamic disorders.
Skull base disorders treated at the Tufts Medical Center’s Division of Neurosurgery
Tumors that occur throughout the skull base
- Meningiomas
- Schwannomas
- Osteomas
- Metastatic lesions to the bone
- Chondrosarcomas
- Chordomas
- Glomus tumor or Paraganglioma Tumors occuring in the Anterior cranial fossa
- Juvenile angiofibroma
- Esthesioneuroblastoma
- Inverted papilloma
- Lymphomas
- Nasopharyngeal carcinoma
- Orbital gliomas
- Orbital tumors
- Rhabdomyosarcomas
- Osteogenic sarcomas
- Ossifying fibromas
- Esthesioneuroblastoma
- Squamous cell carcinoma
- Adenoid cystic carcinoma Tumors occuring in the Middle cranial base and Posterior fossa
- Craniopharyngiomas
- Temporal bone tumors
- Cholesteatomas
- Enchondromas
- Epidermoids
- Dermoids
- Chondromas
- Chordomas
- Acoustic Neuromas
Disorders treated at the Pituitary Treatment Center:
- Hormonally active pituitary adenomas
- Endocrine inactive pituitary adenomas
- Pituitary apoplexy
- Recurrent pituitary tumors
- Hypopituitarism
- Other pituitary pathologies
- Craniopharyngiomas
- Hypothalamic tumors
- Rathke's cleft cysts
Services provided by the Pituitary Treatment Center:
- Comprehensive outpatient evaluation by a neurosurgeon or endocrinologist specializing in pituitary disorders
- Hormonal evaluation and hormonal replacement therapy
- Minimally invasive, endonasal transsphenoidal pituitary surgery (requiring no facial incisions or nasal packing) using endoscopic approaches
- Medical treatment for patients with prolactinomas, acromegaly, and Cushing's disease
- Gamma Knife (stereotactic) radiosurgery for surgically inaccessible or recurrent pituitary tumors
- Neuroophthalmological evaluations
- Second opinions and follow-up evaluation
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