Endoscopic Sinus & Skull Base Surgery
Endoscopic Sinus and Skull Base Surgery (ESBS) is an advanced minimally invasive surgical approach used to treat a wide range of conditions affecting the sinuses, nasal cavity, and skull base. Using high-definition endoscopes introduced through the nostrils, Dr. Vishal Vikas Nair performs complex procedures without any external incisions, offering patients faster recovery and excellent outcomes.
What is Endoscopic Sinus & Skull Base Surgery?
Functional Endoscopic Sinus Surgery (FESS) restores normal sinus drainage and ventilation by removing obstructive tissue and diseased mucosa. Extended endoscopic approaches allow access to the skull base, pituitary gland, orbit, and anterior cranial fossa — areas traditionally requiring open craniotomy — through the natural nasal passages.
Conditions Treated
- Chronic Rhinosinusitis (CRS) with or without nasal polyps
- Recurrent acute sinusitis
- Nasal polyps
- Fungal sinusitis (allergic and invasive)
- Mucoceles and mucopyoceles
- Pituitary tumours (via transsphenoidal approach)
- Cerebrospinal fluid (CSF) leaks
- Encephaloceles
- Skull base tumours (benign and malignant)
- Orbital complications of sinusitis
Procedures Performed
Functional Endoscopic Sinus Surgery (FESS)
Opening and clearing of diseased sinuses to restore normal drainage and ventilation, relieving chronic sinusitis symptoms.
Endoscopic Polypectomy
Removal of nasal polyps under endoscopic guidance with preservation of normal mucosal lining.
Transsphenoidal Pituitary Surgery
Minimally invasive removal of pituitary tumours through the nose and sphenoid sinus, in collaboration with neurosurgery.
CSF Leak Repair
Endoscopic repair of cerebrospinal fluid leaks at the skull base using mucosal grafts and tissue sealants.
Benefits of Endoscopic Sinus & Skull Base Surgery
- No external incisions or visible scars
- Minimally invasive with reduced blood loss
- Shorter hospital stay and faster recovery
- Excellent visualisation with HD endoscopes
- Preservation of normal nasal and sinus function
- Access to complex skull base lesions without craniotomy
Why Choose Dr. Vishal Vikas Nair?
- Specialist in advanced endoscopic sinus and skull base surgery
- Extensive experience with complex sinonasal and skull base pathology
- Multidisciplinary collaboration with neurosurgery and ophthalmology
- State-of-the-art endoscopic equipment and navigation systems
- Comprehensive pre- and post-operative care