Information on the MGH / MEEI Cranial Base Center For information and patient referrals, you may contact an individual physician or call: 1.800.952.5862 Fax  617.573.3068 Medical Directors: Robert G. Ojemann, M.D., Neurosurgery Joseph B. Nadol, Jr., M.D. Otolaryngology Fred G. Barker II, M.D., Neurosurgery Bob S. Carter, M.D., Ph.D., Neurosurgery Clinical Coordinator: Mary Bartley, R.N. Departments, Divisions and other Units participating in the Center Neurosurgery Otolaryngology Ophthalmology & Neuro-Ophthalmology Plastic Surgerv Oral Surgery Radiology Neuroradiology Interventional Radiology Neurogenetics Neurology Radiation Oncology Radiosurgery Neuroendocrinology Psychiatry Pathology Anesthesia Facial Nerve Disorders & Rehabilitation Center Pain Service (MGH & MEEI) Brain Tumor Center Aneurysm Center Neuroendocrine Center Harvard Center for Orofacial Pain & TMJ Disorders Rehabilitation Physical Therapy Social Service Support Groups Special Therapeutic and Diagnostic Modalities: Audiology Botulinum injections Cochlear implants Facial & oropharyngcal prosthetics & prosthedontics Hyperbaric oxygen Interventional neuroradiology Intraoperatlvc monitoring of cranial nerves Laryngeal and Voice Laboratory Laser Microneurosurgery Vestibular testing Microvascular free tissue transfer Microvascular bypass procedures Radiotherapy Stereotactic proton radiation & brachytherapy Rehabilitation: swallowing, speech & vestibula

The Purpose of this Center is to provide a complete range of services for the diagnosis, treatment and rehabilitation of patients with cranial base lesions. Patients may be referred for consultation only, care in partnership with referring physician, or complete management.

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Disorders of the cranial base which the Center is prepared to treat include:

Anterior and Middle Cranial Base

• Neoplasms of the nasal and sinus cavities and nasopharynx
• Meningiomas involving the orbit, frontal fossa, sphenoid wings and cavernous sinus
• Other tumors of the orbit and cavernous sinus
• Bone tumors including chordoma, chondrosarcoma and fibrous dysplasia
• Pituitary and other tumors of the sella
• Craniofacial vascular malformations
• Traumatic or neoplastic compression of the optic nerve

Posterior and Lateral Cranial Base

• Acoustic neuromas
• Other tumors of the cerebellopontine anglc and jugular foramen including meningiomas, schwannomas and glomus tumors
• Lesions of the petrous apex including cholesterol granulomas and cholesteatomas
• Cranial nerve neoplasms
• Osteoradionecrosis
• Developmental and congenital abnormalities including basilar impression, Chiari malformation, and aural atresia

Entire Cranial Base

• Vascular lesions including aneurysms, angiomas and artcriovenous malformations
• Cerebrospinal fluid leak
• Post-traumatic reconstruction

Click on highlighted names to go to individual members homepages or for the service homepages and disease-specific links.

MGH Neurosurgical Service

• Robert G. Ojemann, M.D.
  • Tumors and developmental abnormalities
• Fred G. Barker II, M.D.
  • Tumors
• Lawrence Borges, M.D.
  • Tumors and developmental abnormalitics at the craniocervical junction
• William Butler, M.D
  • Minimally-invasive computer-assisted neurosurgery
• Bob S. Carter, M.D., Ph.D.
  • Aneurysms and vascular malformations
  • Skull base surgery, meningiomas, glioblastomas.
• Paul H. Chapman, M.D.
  • Pediatric neurosurgery and stereotactic radiosurgery
• Christopher S. Ogilvy, M.D.
  • Aneurysms and vascular malformations
• Brooke Swearingen, M.D.
  • Tumors and developmental abnormalities
• Nicholas T. Zervas, M.D.
  • Pituitary and parasellar lesions

Otolaryngology, Massachusetts Eye & Ear Infirmary [MEEI]

• Joseph B. Nadol, Jr., M.D.
  • otology, cochlear implants
• Michael J. McKenna, M.D.
  • Otology, neurotology, facial reanimation
• Mark A. Varvares, M.D.
  • Head and neck surgery
• Dennis Poe, M.D.
  • Otology
• Steven D. Rauch, M.D.
  • cochlear implants
• Richard L. Fabian, M.D.
  • Head and neck surgery, anterior cranial base
• William W. Montgomery, M.D.
  • Head and neck Surgery, anterior cranial base, laryngotracheal reconstruction
• Steve Zeitels, M.D.
  • Head and neck surgery, voice disorders
• Mack L. Cheney, M.D.
  • Facial plastic anid rcconstructive surgery, microvasclular free tissue transfcr, facial reanimation
• Richard E. Gliklick, M.D.
  • Reconstructive surgery
  • Clinical outcomes studies
• Robert E. Hillman, Ph.D.
  • Director Voice Disorders Laboratory

Clinical coordinator:

Mary Bartley, R.N.
Referrals and requests for information may
be directed to individual physicians or to
Ms. Bartley at:
phone: (800) 952-5862
facsimile: (617) 573-3068

Teaching and planning rounds are open to the Profession

Selected Publications:

• Ojemann RG, Levine RA, Montgomery WW, McGaffigan P: Use of intraoperative auditory evoked potentials to preserve hearing in unilateral acoustic neuroma removal. J Neurosurg 61:938-948; 1984.
• Ojemann RG: Meningiomas: Clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds). Neurosurgery. New York, McGraw-Hill Book Co., 1985,1 Vol 1, pp 635-654.
• Ojemann RG: Surgical management of meningiomas of the skull base. In: Lunsford LD (ed): Proceedings of the International Stereotactic Radiosurgery Symposium. New York, Elsevier. (in press)
• Thedinger BA, Nadol JB Jr, Montgomery WW, Thedinger BS, Greenberg JJ: Radiographic diagnosis, surgical treatment, and long-term follow-up of cholesterol granulomas of the petrous apex. Laryngoscope 99:896-807; 1989.
• Nadol JB Jr, Chiong CM, Ojemann RG, McKenna MJ, Martuza RL, Montgomery MV et al: Preservation of hearing and facial nerve function in resection of acoustic neuroma. Laryngoscope. (in press)
• Nadol JB Jr, Eddington D: Treatment of senso rineural hearing loss by cochlear implantation. Ann Rev Med 39:491-502; 1988.
• Joseph MP, Lessell S, Rizzo J. Momose KJ: Extracranial optic nerve decompression for traaumatic optic neuropathy. Arch Opthalmol 108:1091-1093; 1990.
• Austin-Seymor M, Munzenrider J, Goitein M, et al: Fractional proton radiation therapy of chordoma and low-grade chondroscaroma of the base of the skull. J Neurosurg 70:13-17; 1989.
• Levine RA: Monitoring auditory evoked potentials during cerebellopontine angle surgery: relative value of electrocochleography, brainstem auditory evoked potentials and cerebellopontine angle recordings. In: Schramm J, Moller A (eds). Intraoperative Neurophysiologic Monitoring in Neurosurgery. Berlin: Springer-Verlag (1991).
• Yaremchuk MJ, Gruss JS, Nanson PN: Rigid fixation of the craniomaxillofacial skeleton. Butterworth-Heinemann, Boston (1992).
• Lessell S: Indirect optic nerve trauma. Arch Opthalmol 107:382-386; 1989.
• McKenna MJ, Cheney ML, Borodic G, Ojemann RG: Management of facial paralysis after intracranial surgery. Contemp Neurosurg 13:1-8; 1991.
• Short MP, Martuza l@: Clinical and genetic aspects of NF2. In: Hughes RAC, Huson SM (eds). Neurofibromatosis. Chapman & Hall, London: New York (1992).

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