Skull Base

  • John Radcliffe Hospital, Oxford

Skull Base and Neurovascular Surgery

This is a comprehensive skull base and neurovascular fellowship with training in the pre, intra and post-operative aspects of the subspeciality. The fellow will attend sub-speciality clinics, MDTs and theatre lists with at least 2-3 lists a week with skull base and neurovascular cases. Complex approaches are routinely performed including orbital approaches, clinoidectomies, middle fossa (Kawase), infratemporal fossa, far lateral, pre-sigmoid (translabyrinthine, transtententorial) and combined petrosectomies. The close working with allied subspecialities provide broad exposure to a range of complex cases including meningiomas, vestibular schwannomas, orbital tumours, sinonasal malignancies, chordomas, chondrosarcomas and the facility to learn advanced reconstructive strategies. The neurovascular component provides training in all aspects of neurovascular surgery including cavernomas, aneurysms, AVMs, spinal and cranial dural fistulas and EC-IC bypass techniques

Contact: Sanjeeva Jeyaretna 

  • Salford Royal Hospital 

The Neurosurgical Clinical Fellowship in Skull Base provides an excellent opportunity to join the Manchester Centre for Clinical Neurosciences (MCCN) and gain experience in all aspects of skull base neurosurgery. The successful applicant will support the clinical service of Neurosurgery at Salford Royal including on-call commitments. The post of skull base fellow is designed as a 1 year post suitable for a senior neurosurgical trainee wishing to gain experience in this particular subspecialty. It is envisaged as a post appropriate for someone prior to taking up a consultant post, in the UK or abroad, with an interest in skull base neurosurgery. The successful candidate to the post of skull base fellow will become part of a team of 24 neurosurgical trainees. This includes neurosurgical specialist trainees on run through training (ST1-8), four other subspecialty fellows (neuro-oncology, vascular, pituitary and complex spine), and 3 research fellows who join in the on-call rota.  The skull base fellow will be attached for the entire year to the Rutherford/King/Hammerbeck-Ward/Pathmanaban firm. Also on the firm will be at least one other neurosurgical registrar, usually more junior than the skull base fellow. Their commitments will include the care of the firm’s patients on the ward, in theatre and in outpatients. Approximately 150 skull base cases are operated on each year in Manchester. This includes about 50 vestibular schwannomas, involving a team of four neurosurgeons (Mr Scott Rutherford, Mrs Charlotte Hammerbeck-Ward, Mr Omar Pathmanaban and Professor Andrew King), and two ENT Surgeons (Mr Simon Freeman and Prof Simon Lloyd). We have two dedicated skull base nurses working with us and a skull base MDT co-ordinator, and aim to provide a comprehensive skull base service. Outside of theatres, Mr Rutherford, Mrs Hammerbeck-Ward, Mr Pathmanaban and Professor King run regular skull base outpatient clinics. There is a fortnightly skull base MDT at which approximately 100 cases will be discussed. There is also a weekly Neurofibromatosis Type 2 Clinic, the largest in the UK.