Lateral Skull Base Surgery Unit

The Lateral Skull Base Surgery Unit treats patients with tumours and complex conditions affecting the temporal bone and adjacent neurological and vascular structures, which require a highly specialised surgical assessment.

It intervenes in cases where anatomical complexity and functional risk necessitate expert planning and a technical approach of the utmost precision.

Specialist surgical assessment of disorders of the temporal bone and lateral skull base

The unit specialises in the diagnosis and treatment of paragangliomas of the ear, intrapetrosal cholesteatomas, endolymphatic sac tumours and other benign or malignant lesions located in the temporal bone. It also treats cerebrospinal fluid fistulas and meningoencephalic hernias presenting through the middle ear.

This assessment is particularly indicated when the lesion affects critical structures such as the facial nerve, the auditory system or intracranial vessels, or when there is extension towards the skull base. The initial aim is to confirm the need for surgery, assess functional risks and define the safest and most effective surgical approach.

Detailed radiological analysis and personalised surgical planning

The process begins with a specialist consultation and a thorough review of high-resolution imaging studies, including computed tomography (CT) and magnetic resonance imaging (MRI). These tests enable us to assess the extent of the lesion, its relationship with neurological and vascular structures, and the degree of bone involvement.

Each case is assessed on an individual basis and, where appropriate, planning is carried out in collaboration with the Neurosurgery and Radiology departments. This coordination enables us to determine the most appropriate surgical approach and anticipate intraoperative scenarios, thereby reducing risks and optimising functional outcomes.

High-precision surgery aimed at preserving essential functions

The surgical approach is designed with the aim of achieving complete resection of the lesion where indicated, whilst preserving functions such as facial mobility, hearing and neurological stability to the greatest extent possible.

The procedure requires advanced anatomical knowledge and specific expertise in otology and skull base surgery. Magnification systems and specialised surgical technology are used, enabling work to be carried out with extreme precision within anatomical spaces.

Intraoperative decisions are made with a conservative approach where functional preservation so requires, striking a balance between the extent of the surgical procedure and neurological safety.

Structured post-operative follow-up and long-term monitoring of progress

Following surgery, a structured follow-up plan is put in place, comprising regular clinical check-ups and imaging tests to assess progress and rule out recurrence.

For conditions that may require long-term monitoring or additional treatments, coordination with other specialist departments ensures continuity of care and long-term follow-up.

Specialist surgical care with time set aside for explanation and ongoing support

Surgery on the lateral skull base involves complex decisions that require the patient to have a detailed understanding of the situation. From the very first consultation, we take the time needed to explain the diagnosis, the relevant anatomy and the available treatment options.

Each patient understands the objectives of the procedure, the potential risks and the planned recovery programme. Decision-making is a shared process, particularly when it is necessary to balance functional preservation with the extent of the surgery.

Support does not end with the operation. Scheduled follow-up appointments, coordination with other specialities and the availability to answer any questions are an essential part of the care model.