ABSTRACT

Fibro-osseous lesions of the skull base are challenging in every way, mainly due to their anatomical situation. Exposure can be difficult as can the resection.Without care, knowledge, and experience, disasters can occur. In many cases, accurate diagnosis, goodpreoperativeplanning, and close cooperation with an experienced neurosurgeon are essential. It is important that the surgeons know exactly what part each plays in the surgical procedure. If this kind of arrangement is not in place, these procedures can become chaotic and the patient suffers. Experienced nurses are an essential part of the team and they must be told this and complimented. They can be very helpful when serious complications occur; fortunately, this is a rarity. Skull base and craniofacial surgery can be stressful and, in some cases, lengthy and thus it is important to have a harmonious and well-organized operating room environment.