Ear (Otology)
Complete ear care — infections, hearing loss, tinnitus and ear surgery including tympanoplasty and stapedectomy.
Learn MoreAdvanced Surgical Care
ENT & Skull Base Surgery in Chennai
Skull base surgery deals with tumours and conditions that sit at the junction of the ear, nose, throat, brain and spine — one of the most technically demanding areas in ENT. At Royal Pearl, this program is led by Dr. Sathya Narayanan JD, an ENT, head & neck and skull base surgeon focused on evidence-based, minimally invasive technique.
Where possible, we favour minimally invasive, endoscopic approaches that reach the skull base through the nose rather than external incisions — reducing recovery time and visible scarring while giving the surgical team a magnified, high-definition view of the operative field.
Conditions We Treat
- Skull base and sinonasal tumours (benign and malignant)
- Pituitary and anterior skull base lesions (managed jointly with neurosurgery where required)
- Advanced chronic sinusitis requiring surgical correction
- Invasive fungal sinus infections, including mucormycosis
- Head and neck tumours affecting the ear, nose or throat
- Complex or revision ENT surgery after treatment elsewhere
Our Approach
How We Diagnose & Treat It
Detailed imaging & diagnosis
CT/MRI review and endoscopic assessment to map the extent of disease before any surgery is planned.
Multidisciplinary planning
Complex cases are reviewed with allied specialists so the surgical plan accounts for every structure involved.
Minimally invasive surgery where possible
Endoscopic, image-guided technique is used to limit trauma to surrounding tissue and speed recovery.
Structured post-operative follow-up
Recovery is monitored closely, with clear guidance on what to expect at each stage of healing.
Questions Answered
Frequently Asked Questions
Is skull base surgery always open surgery with visible scarring?
No. Many skull base tumours and sinus conditions can now be reached endoscopically through the nostril, without any external incision. Whether this approach is suitable depends on the size, location and nature of the lesion, which is assessed during consultation.
How experienced is the surgical team at Royal Pearl?
The program is led by Dr. Sathya Narayanan JD, an ENT, head & neck and skull base surgeon whose practice is built around evidence-based treatment and the latest minimally invasive surgical technique.
Do you treat mucormycosis (black fungus) cases?
Yes. Royal Pearl has direct experience managing invasive fungal sinus infections including mucormycosis, working jointly with our endodontic team where dental structures are also affected.
What is the recovery time after skull base surgery?
Recovery varies significantly by procedure complexity — endoscopic approaches typically allow a shorter hospital stay than open surgery. Your surgeon will give you a specific recovery timeline based on your case during consultation.
Will I need imaging before skull base surgery?
Yes, CT and/or MRI imaging is standard before any skull base procedure, to map the exact extent and location of the lesion and plan the safest surgical approach.
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Nose (Rhinology)
Sinus and nasal conditions diagnosed with video endoscopy — from chronic sinusitis to a deviated septum.
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