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A Multidisciplinary Skull Base Board for Tumour and Non-Tumour Diseases: Initial Experiences. J. Pers. Med. 2024, 14, 82. [https://doi.org/10.3390/](https://doi.org/10.3390/)[ ](https://doi.org/10.3390/)jpm14010082  \nAcademic Editor: Dong-Kyu Kim  \nReceived: 9 December 2023  \nRevised: 5 January 2024  \nAccepted: 9 January 2024  \nPublished: 10 January 2024  \nCopyright: © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) .  \n1 Department of Otorhinolaryngology, Faculty of Medicine, University of Ljubljana, Vrazov Trg 2,  \n1000 Ljubljana, Slovenia  \n2 Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia  \n3 Department of Neurosurgery, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia  \n4 Department of Surgery, Faculty of Medicine, University of Ljubljana, Vrazov Trg 2, 1000 Ljubljana, Slovenia  \n5 Department of Radiology, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia  \n6 Medilab Diagnostic Imaging, Vodovodna 100, 1000 Ljubljana, Slovenia  \n7 Department of Diagnostic and Interventional Radiology, General Hospital Slovenj Gradec, Gosposvetska Cesta 1, 2380 Slovenj Gradec, Slovenia  \n* Correspondence: [domen.vozel@kclj.si](domen.vozel@kclj.si)  \nAbstract: The skull base is the area where various cancerous and non-cancerous diseases occur and represents the intersection of several medical fields. The key is an integrated treatment by specialists of multiple disciplines. We prospectively analysed patients with a skull base disease between August 2022 and 2023 and presented to the Multidisciplinary Skull Base Board (MDT-SB), which takes place once a month hybridly (in-person and remotely) . Thirty-nine patients (median age of 58.2 years) were included, of which twelve (30.8%) had a benign tumour, twelve (30.8%) hada malignant tumour, five had an infection (12.8%), and ten (25.6%) had other diseases. For each patient, at least two otorhinolaryngologists, a neurosurgeon, and a neuroradiologist, as well as an infectious disease specialist, a paediatrician, an oculoplastic surgeon, a maxillofacial surgeon, and a pathologist were involved in 10%, 8%, 8%, 3%, and 3% of cases, respectively. In fifteen patients (38%), the MDT-SB suggested surgical treatment; in fourteen (36%), radiological follow-ups; in five (13%), non-surgical treatments; in two, conservative treatments (5%); in two (5%), surgical and conservative treatments; and in one (3%), a biopsy. Non-cancerous and cancerous diseases of the skull base in adults and children should be presented to the MDT-SB, which consists of at least an otolaryngologist, a neurosurgeon, and a neuroradiologist.  \nKeywords: skull base neoplasms; carcinoma; remote consultation; paranasal sinuses; ear neoplasms; invasive fungal infections; central nervous system neoplasms; cranial nerve disorders; neuroendoscopy  \n1. Introduction  \nThe skull base is an anatomical region that constitutes the bottom and support for the brain, cerebellum, brainstem, and medulla oblongata. It is composed of the frontal, ethmoid, sphenoid, and occipital bones, as well as the temporal bones. Important neurovascular structures (such as the brainstem, internal carotid artery, basilar artery, and all cranial nerves) traverse the skull base or its pa","cbCaivg1LxeJUh43","https://ap.wps.com/l/cbCaivg1LxeJUh43","pdf",210132,"English","# Introduction\n## Skull base anatomy and clinical significance\n## Multidisciplinary management and the MDT-SB concept","[{\"question\":\"What is the purpose of the Multidisciplinary Skull Base Board (MDT-SB)?\",\"answer\":\"To coordinate integrated treatment for skull base diseases by bringing together specialists from multiple disciplines. The board takes place monthly in a hybrid in-person and remote format.\"},{\"question\":\"How many patients were included and what types of conditions were covered?\",\"answer\":\"Thirty-nine patients were included. The cohort comprised benign tumours, malignant tumours, infections, and other diseases.\"},{\"question\":\"What treatment recommendations did the MDT-SB suggest?\",\"answer\":\"Recommendations included surgical treatment, radiological follow-ups, non-surgical treatments, conservative management, combined approaches, and biopsy for selected cases.\"}]","A Multidisciplinary Skull Base Board for Tumour and Non-Tumour Diseases - Initial Experiences | PDF",1789995271]