Endoscopic skull base surgery is a minimally invasive approach that uses an endoscope with a camera and light, allowing surgeons to access and treat abnormalities Skull Base without large incisions. The surgery is often performed through the nose, and eliminates the need for external cuts. This technique is primarily used to address conditions such as pituitary tumors, craniopharyngiomas, clival tumors, and cerebrospinal fluid (CSF) leaks.
Endoscopic skull base surgery requires a multidisciplinary approach, combining the skills of Neurosurgeon, Otolaryngologist and Skull base surgeon. Dr. PK's expertise in both ENT and skull base surgery ensures best care for patients with these complex conditions.

Endoscopic Endonasal Transphenoidal excision
For Pituitary macroadenoma
Endoscopic Endonasal Transphenoidal excision
For Craniopharyngioma
Endoscopic Endonasal Transphenoidal excision
For Clival chordoma
Extended Endoscopic Endonasal transphenoidal transpterygoid approach and excision
cavernous sinus tumor
Extended Endoscopic Front door Meckel’s cave approach
For Meckel’s cave tumor
Endoscopic Endonasal Transphenoidal Transpterygoid approach and excision
For medial petrous apex tumor
Endoscopic Endonasal Transphenoidal Transpterygoid approach and excision
For medial petroclival junction tumor
Endoscopic Endonasal Transcribriform approach and excision
For Olfactory groove esthesioneuroblastoma
Endoscopic CSF Rhinorrhoea repair
For CSF leak

Lateral skull base surgery addresses complex conditions affecting the side and base of the skull. This approach is frequently used to treat conditions affecting the cranial nerves, such as acoustic Neuromas, CP angle Epidermoids, Meckel’s cave tumors, facial nerve neurinomas, Petrous bone cholesteatoma, Skull base osteomyelitis, Glomus jugulare tumors, Lower cranial nerve neurinomas, Jugular foramen meningioma, Temporal bone trauma and other lesions located near the ear and lateral skull base.
Lateral skull-base surgery requires a multidisciplinary approach, combining the skills of Neurosurgeon, Otolaryngologist and Skull base surgeon. Dr. PK's expertise in both ENT and skull base surgery ensures best care for patients with these complex conditions.
Preoperative embolization followed by Surgery – Infratemporal fossa approach type A
For Glomus jugulare tumors
Petro occipital trans sigmoid approach
For Lower cranial nerve neurinomas and Jugular foramen meningioma
Surgery for Facial nerve neurinomas
Infratemporal fossa approach type B / Modified transcochlear approach type A
For Petrous apex cholesterol granuloma
Infratemporal fossa approach type B / Modified transcochlear approach type A
For Petrous bone cholesteatoma
Temporal bone resection
For CA external auditory canal
Debridement for Skull base osteomyelitis
Surgery for Transverse temporal bone fracture with facial nerve injury