Skull Base Surgery
Advanced endoscopic endonasal and lateral approaches accessing deep cranial and pituitary pathologies without facial incisions or brain retraction.
Clinical Overview & Surgical Philosophy
Dr. Radhamadhab Sahu completed 3 years of specialized neurosurgical skull base training at Safdarjung Hospital, New Delhi, and practiced alongside renowned neurosurgeon Dr. V.S. Mehta. He specializes in minimally invasive endoscopic corridor surgery through the natural nasal cavities, eliminating cranial incisions and offering faster recovery for complex cranial base tumors and CSF leaks.
Keynote Lecture: Endoscope-Assisted Management of Jugular Foramen Tumors
Dr. Radhamadhab Sahu presenting intraoperative endoscopic techniques for jugular foramen and lateral skull base tumors at SKULLBASECON 2025 (26th Annual Conference of the Skull Base Surgery Society of India, The Leela Palace, Chennai).
Verified Surgical Procedures
Procedures performed with advanced endoscopic visualization, optical guidance, and tissue-sparing techniques.
Endoscopic Transsphenoidal Pituitary Surgery
Complete resection of pituitary adenomas and macroadenomas through the nostrils using high-definition endoscopes with neuronavigation.
Clival Chordoma & Craniopharyngioma Excision
Extended endoscopic anterior skull base resection of midline retroclival and suprasellar tumors.
Endoscopic CSF Rhinorrhea Repair
High-precision multi-layered reconstruction of skull base defect leaks using vascularized nasoseptal flaps (Hadad-Bassagasteguy flap).
Lateral Skull Base & CP Angle Tumors
Trans-labyrinthine and infratemporal approaches for vestibular schwannomas (acoustic neuromas) and glomus jugulare tumors.
Juvenile Nasopharyngeal Angiofibroma (JNA)
Minimally invasive endoscopic vascular tumor excision with preoperative embolization support.
Maxillofacial Trauma & Skull Base Reconstruction
Restoration of orbital floor, cribriform, and sphenoid fractures following high-velocity trauma.
When Should You Seek Professional Evaluation?
If you or a family member experience any of the following persistent symptoms, a specialized examination by an otolaryngologist is strongly advised:
- Watery, salt-tasting fluid continually dripping from one nostril, aggravated by bending forward (CSF leak)
- Unexplained visual field deficits or progressive peripheral vision loss
- Persistent, deep cranial headaches non-responsive to conventional analgesia
- Hormonal irregularities (elevated prolactin, unexplained cortisol or growth hormone alterations)
- Unilateral facial numbness, tingling, or hearing loss
Diagnostic Pathway & Preoperative Workup
1. High-Resolution CT & 3T MRI
Thin-cut navigation protocol CT scans of skull base coupled with contrast-enhanced MRI to map tumor vascularity and neural borders.
2. Rigid Diagnostic Endoscopy
Micro-endoscopic visualization of the sphenoethmoidal recess and cribriform plate to pinpoint bone defects.
3. Beta-2 Transferrin Confirmation
Specific laboratory fluid assay to definitively confirm cerebrospinal fluid in suspicious nasal secretions.
4. Multidisciplinary Skull Base Board
Coordinated review with neurosurgery, neuroradiology, and endocrinology teams for optimal operative planning.
Frequently Asked Questions: Skull Base Surgery
Transparent medical guidance regarding recovery, precautions, and surgical pathways.
Discuss Your Symptoms with Dr. Radhamadhab Sahu
Evaluations available at SUM Ultimate Medicare and Dr. Radhamadhab ENT and Cancer Clinic, Bhubaneswar.
Other ENT Specialities
Schedule Your Clinical Consultation
Dr. Radhamadhab Sahu consults across two authorized clinical centers in Kalinga Nagar, Bhubaneswar. Choose your preferred care setting below to connect directly with the respective appointment desk.
SUM Ultimate Medicare
Department of ENT and Skull Base Surgery
Primary venue for comprehensive outpatient evaluations, in-hospital endoscopies, neurosurgical skull base surgeries, and inpatient surgical care.
E.N.T. & Cancer Super-Speciality Clinic
Skull Base Surgery Head & Neck Cancer Center
Dedicated private clinic for personalized ENT assessments, endoscopic examinations, post-operative surgical reviews, and specialized skull base consultations.
To ensure thorough evaluation, please bring all previous medical records, recent blood reports, radiological imaging films/CDs (CT scans or MRI scans of the brain, sinuses, or neck), and any existing audiometry / hearing tests.