About the Center of Expertise
People suffering skull base pathology are invited to visit our center of expertise for advice, research and potential treatment.
We have experience in treating patients with conditions within or in relation to the base of the skull. The base of the skull is a large area in the center of the head; it is the area between the brain and other (facial) structures like the (inner)ears eyes and the nose, but also the cerebellum. The majority is made up of bony structures.
There is not a single kind of skull base physician as both the surgeons from the brain (neurosurgeons) or surgeons of the ear, nose and throat (ENT surgeons) can specialize in operating this area. Furthermore, radiotherapists can treat skull base pathologies. Hence, skull base pathology management requires a multidisciplinary approach.
The Radboudumc is known throughout the country for its expertise in this field. For example, each year, the various departments involved see more than 300 new patients who have been referred from other hospitals. Also, operations are carried out in this field on a weekly basis. There is close cooperation between the various disciplines in both patient care and research. Also, there are good relations with several patient associations.
The center of expertise in skull base pathology has been acknowledged by the Ministry of Health,
Welfare and Sport.
Your visitAt our center of expertise, an ENT phyisician, a neurosurgeon or a radiotherapist will interview you. Consultation takes place with other specialists, such as radiologists, neurologists and internist endocrinologists.
We advise and treat patients with conditions of the base of the skull. In doing so, we always carefully
consider the advantages and disadvantages of a possible treatment. We always consider patient's
wishes and are aware that treatment is not always the best solution. Care is individualized by definition and very much dependent on the condition of the patients themselves. We believe we are experts in this personalized care since
- Our extensive experience
- The relative large number of patients that are treated
- The modern examination techniques and treatment methods at our disposal
- Our up to date knowledge of recent research
The base of the skull
The base of the skull is a large area in the head, it is the area between the brain and other facial structures at the front and the side of the head. It is mainly built up of bony parts with several vital structures running through this, such as nerves, blood vessels and sensory organs. The base of the skull can be divided in the anterior (frontal) and lateral (side) base.
The anterior skull base is located between the brain and the nasal cavities and the eye sockets. Here, also the olfactory (organ for smell) and the pituitary gland (a hormonal gland at the bottom of the brain) can be found. Operations in this area take place via an external approach and
sometimes through the nose in which case cameras are used to visualize the operation field.
The lateral skull base (side of the skull) is the area around the temporal bone which contains amongst others the hearing and balance organs, as well as the facial nerve responsible for a patients facial expressions.
Research and education
ResearchThis center of expertise investigates various lines of research as:
Researching the prevention of these tumors, correct diagnosis and treatment decision-making. Also setting up a national database.
Setting up a national database and a national treatment protocol.
Researching treatment and results in ear carcinomas.
Performing pre-clinical studies towards robotic surgery of the skull base.
Studying the neurophysiological monitoring of the facial nerve during operations of vestibular schwannomas
The DIAG Nijmegen develops algorithms to help clinicians interpret medical images and thus improve the diagnostic process.
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