Skull Base & Pituitary Surgery



The Center for Skull Base Surgery at Loma Linda University Medical Center has been providing state of the art care for almost 1,000 patients with skull base tumors over 15 years.  Under the current leadership of Co-directors Dr. Kenneth De Los Reyes, Msc, MD and Dr. Steve C. Lee, MD, PhD, a multidisciplinary team is available to effectively treat a wide range of skull base tumors and diseases.  The skull base is a complex anatomic region that is the intersection of major nerves and blood vessels entering and exiting the brain and the eye and ear and is best managed by a multidisciplinary team that tailors treatment to the specific patient and tumor.  The Center for Skull Base Surgery at Loma Linda University Medical Center includes not only a core surgical team of neurosurgeons and otolaryngologists but also microvascular reconstruction surgeons, neurotologists, oncologists, radiation oncologists, vascular surgeons, interventional and diagnostic neuroradiologists, and pathologists with special expertise in neurologic pathology.  Our experience and expertise in skull base tumors is both broad and deep.  


A personalized approach

At Loma Linda, we believe the best treatment for any skull base tumor is the treatment that is personally tailored to each patient and each tumor to maximize treatment effectiveness while minimizing patient morbidity.  In order to do this, we have expertise and experience in a wide range of surgical techniques from endoscopic endonasal surgery, keyhole surgery, 3D navigated stereotactic surgery to complex open skull base surgery with microvascular reconstruction.  We are also the first hospital based proton treatment center in the world and have one of the largest experiences in the world in treating chordomas and other skull base tumors with proton therapy.


A team approach

The physicians at the Center for Skull Base Surgery meets regularly to discuss complex cases and determine the best treatment strategy for these cases.  The radiographic studies are presented by neuroradiologists and carefully reviewed and the pathology is discussed.  Many surgical techniques and nonsurgical options are considered before an optimal approach is agreed upon.  Also, almost every surgery involves a team of at least two surgeons because we feel that two sets of eyes and the collaborative intraoperative discussion between the two surgeons and two specialties leads to safer surgery and better outcomes.