Lenox Hill Skull Base Surgeons Publish a Novel Minimally Invasive Technique For Removing Skull Base Tumors

CT Scan
Patient's postoperative axial CT scan, with bulk of lesion resected

NEW YORK, NY – The New York Head and Neck Institute and the division of neurosurgery at Lenox Hill Hospital, part of the North Shore-LIJ Health System, announced today that they have published a study using a novel, minimally invasive surgical technique to remove skull base tumors.

Published in the Oct. 25th issue of the Journal of Neurosurgery Reports, the case study entitled, “Multiportal Combined Transorbital and Transnasal Endoscopic Resection of Fibrous Dysplasia,” was co-authored by North Shore-LIJ physicians Peter Costantino, MD, FACS; David Langer, MD; John Boockvar, MD; Margherita Bruni, MD; Prabhjyot Singh, MD and Tristan Tham, MD.

The study features the case of an 18-year-old patient who presented with right-sided proptosis, which is a condition where one or both of the eyes bulges.  Further diagnostic tests including magnetic resonance imaging (MRI) and computed tomography (CT) scans revealed a fibrous dysplasia (FD) tumor located at the skull base and orbit. 

“Fibrous dysplasia is a rare and abnormal bone growth where normal bone is replaced with fibrous bone tissue, causing abnormal growth of the bone,” said Dr. Boockvar, director of the Brain Tumor Centers at Lenox Hill and Manhattan Eye, Ear and Throat Hospital.  “This abnormal bone growth can occur in any part of the skeleton, but the bones of the skull are one of the most commonly affected areas.  Fibrous dysplasia accounts for approximately seven percent of all benign bone tumors.”

Traditionally, in order to access a tumor located at the anterior skull base, an invasive, open procedure involving a craniotomy was performed. 

“Due to the location of this patient’s tumor, it required a different surgical approach,” said Dr. Costantino, executive director and senior vice president of the head and neck institute and the otolaryngology-head and neck surgery service line. “Traditional endoscopic approaches are only through the nose which limits access.  In this case, we used an expanded technique of a combined transnasal/transorbital approach that also included going through the orbit to successfully remove the tumor.  This case report highlights how surgeons may wish to consider this combined endoscopic approach for complex cases.”

For the complete abstract of this case study, click here.


About North Shore-LIJ Health System -- North Shore-LIJ is changing its name to Northwell Health in January 2016.
One of the nation's largest health systems, the health system delivers world-class clinical care throughout the New York metropolitan area, pioneering research at The Feinstein Institute for Medical Research, a visionary approach to medical education highlighted by the Hofstra North Shore-LIJ School of Medicine, and healthcare coverage to individuals, families and businesses through the CareConnect Insurance Co. Inc. The health system cares for people at every stage of life at 21 hospitals and about 450 outpatient physician practices throughout the region. The health system’s owned hospitals and long-term care facilities house more than 6,600 beds, employ more than 15,000 nurses and have affiliations with nearly 13,600 physicians. With a workforce of more than 61,000, the health system is the largest private employer in New York State.  For more information, go to www.northshorelij.com

About Lenox Hill Hospital:
Lenox Hill Hospital, a member of the North Shore-LIJ Health System, is a 652-bed, fully accredited, acute care hospital located on Manhattan’s Upper East Side with a national reputation for outstanding patient care and innovative medical and surgical treatments. US News & World Report has ranked the hospital among the nation’s top 50 in Cardiology and Heart Surgery and among the top 10 hospitals in the state of New York with a total of 11 “high performing” designations for its clinical performance in Cancer, Diabetes & Endocrinology, Ear, Nose & Throat, Gastroenterology & GI Surgery, Geriatrics, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology and Urology. For more information, go to www.lenoxhillhospital.org.

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