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Skull Base Center

state-of-the-art care for the treatment of sinonasal, ear and skull base tumors and related conditions

Diseases of the skull base are rare but potentially life threatening disorders. Due to the complex anatomy of the cranial base, treatment is quite challenging. Diseases in this area include benign and malignant tumors (cancers), infections, congenital defects and complicated head trauma. These conditions can affect complex senses such as smell, vison, hearing and balance and even the functions of the brain.

Our Multidisciplinary Skull Base Team
To ensure that our patients receive the most comprehensive care, we have established a multidisciplinary team of neurosurgeons, head and neck surgeons, neurotologists, microvascular reconstructive surgeons, interventional radiologists, radiation oncologists, pathologists, and medical oncologists, who collaborate together with the mutual goal of determining and implementing the optimal treatment path which is "tailor made" for each patient.

Treatment of Skull Base Tumors
Depending on the type of tumor or disease and the specific location, there are many different treatment approaches ( surgical and non surgical) that can be implemented. After proper diagnosis, all of our patients are discussed during a multidisciplinary skull base (tumor) board meeting.
Surgical treatment includes both open (external-skin incisions) and minimally invasive (without incisions) techniques. Our surgeons at the Skull Base Center have vast experience in  both open techniques and minimally invasive approaches to the skull base and brain. Our surgeons have been specially trained to use high-definition telescopes, intraoperative neuronavigation and specialized instruments to safely perform surgery at the skull base and surrounding regions.

Our radiation concologists and medical oncologists have the expertise and experience on the latest radiotherapy techniques and alternative treatment options for  a wide variety of lesions. The Erasmus Medical Center/Holland Proton Therapy Center will be the first treatment center in the Netherlands to offer proton therapy. Dutch residents as well as patients from surrounding european countries and the world will have the access to this new cancer treatment option.

Our team works to find the technique or combination of techniques  that will offer you the greatest the highest chance for cure and chance of returning to normal life.

Skull base tumors and lesions that we treat:
Adenoma (pituitary tumors), angiofibroma, chordoma, craniopharyngioma, meningioma, olfactory neuroblastoma, nasopharyngeal carcinomas, carcinomas of the nasal cavity and sinonasal regions, carcinomas of the ear and middle skull base , sinonasal melanomas, neurofibromas, schwannomas, parangangliomas, CSF leakages, …

Skull Base Center Follow-up Care
All skull base patients are scheduled for several follow-up appointments that include a post-operative checkup and surveillance. In addition, we provide various support services, such as rehabilitation and speech therapy. In collaboration with (inter)national patient organisations, we ensure that each patient also receives proper follow-up and support system.

Why ErasmusMC?
Erasmus Medical Center is the largest tertiary hospital in the Netherlands and its skull base team has been a leader in the field since its inception in 2009. The team that works with you is made up of the brightest, most talented and most compassionate health care professionals in the country. Our treatment protocols have been validated and are regularly updated depending on new evidences, institutional experiences and through constant research. The skull base team trains the next generation of physicians, nurses and other health care providers from with the region and the rest of the world through continuing education seminars, international courses and fellowships. The skull base center  is recognised by the NFU as one of  the center for rare diseases in the Netherlands and is an active member of EURACAN (European Reference Network for rare cancers). Through the years we have established an intensive collaboration with other centers  and patient organisations within Europe in terms of patient care and research. Our goal is to improve your quality of life by providing the highest quality treatment in a caring environment.
Our city Rotterdam is a large city with inhabitants of 175 different nationalities. We are therefore familiar with patients with different languages and cultures. We are keen to welcome you at our team and in our beautiful city!

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