This lecture, presented by Prof. Dr. Andrew J. Fishman at the Romanian Rhinology Society Meeting (September 2025), explores the transition from advanced rhinologic procedures to anterior skull base and pituitary surgery. Dr. Fishman details the surgical strategy, anatomy, and technique for accessing the sella turcica in pituitary tumor removal—highlighting workflow integration, precision dissection, and safe navigation around critical structures. Intended for both surgeons ex

This video documents the endoscopic skull base surgery of a single patient with both a pituitary lesion and an intranasal vascular tumor, performed at Northwestern Medicine, USA, with my colleague and friend, Dr. Taras Masnyk. The case demonstrates advanced endoscopic technique, multidisciplinary teamwork, and modern approaches to managing complex anterior skull base pathology. #PituitarySurgery   #NasalTumor   #EndoscopicSkullBase   #Neurosurgery   #NorthwesternMedicine   #A

Explore how intraoperative facial-nerve monitoring improves surgical outcomes in both skull-base and head-and-neck cases. This lecture covers stimulation thresholds, triggered and spontaneous electromyography, and real-world examples: a translabyrinthine resection of an acoustic neuroma and a parotidectomy with nerve-branch mapping. Learn how varying stimulation levels guide dissection and safeguard the facial nerve from injury, ultimately preserving function. #FacialNerve  

Below is a video demonstration of an intact canal wall first stage resection of a cholesteatoma. Due to the large size of this file, it may best be viewed from a computer rather than mobile phone.   For the second stage technique, please refer to the section on ossiculoplasty .

Publication: Fishman AJ , The Expanded Transtemporal Approach for Large CPA Lesions in Master Techniques in Otology Neurotology Roland JT [Ed.] Wolters Kluwer 2019. INTRODUCTION The expanded transtemporal approach is intended to address large cerebellopontine angle (CPA) lesions. It is a non–hearing preservation approach, indicated for surgical treatment of tumors in which total or near-total surgical extirpation is the primary objective. This operation can be conceptualized

Patients with acoustic neuroma present a variety of treatment options.  Simplification of the protocol includes: serial imaging; radiosurgery; and hearing and non-hearing preservation surgical removal.  In this lecture, we will discuss the various options and present case examples as a means to better understand the choices patients have.  Ultimately, each case is individualized.  Factors that must be considered include: age, size, location, hearing levels, and degree of vest