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SKULL BASE PROGRAM

11/14/2002


Welcome to the comprehensive Skull Base Program of University Physicians at Stony Brook.

What Is Skull Base Surgery?

Skull base surgery encompasses a wide variety of operations performed at the interface of the brain and the head and neck, where an intricate complex of major nerves, glands, and blood vessels is found. It includes surgery for acoustic neuromas, meningiomas, pituitary tumors, and other benign and malignant tumors at the base of the skull.

In the past, surgeons were unable to perform surgery of the skull base because of its complex anatomy and the risk to delicate and vital structures. However, advances in diagnostic, therapeutic, and reconstructive techniques now allow successful treatment of lesions deep in the skull base to be successfully treated through team surgery, usually through a collaboration of a neurosurgeon and otolaryngologist–head and neck surgeon.

What Are the Advantages of the UPSB Skull Base Program?

Our surgical team is made up of two skilled surgeons with years of experience in skull base surgery: Dr. Raphael Davis and Dr. Eric Smouha. Their philosophy of treatment is a combination of conservative case management with state-of-the-art procedures and technology. A treatment plan is individualized to each patient’s needs. Serial observation, stereotactic radiation, image-guided surgery, and minimally invasive techniques are favored whenever possible. When appropriate, more invasive procedures are recommended. The choice of treatment depends on the type and location of the lesion, the patient’s symptoms and their duration, and the age and health of the patient. Dr. Davis and Dr. Smouha enjoy a reputation for excellence, enviably low complication rate, and a loyal patient following.

There are several practical advantages to our program structure:

  • Patient access to both surgeons at the same patient visit, optimizing patient time and efforts;
  • Joint conference of the two specialists immediately, further saving time to provide a swift course of action;
  • Enhanced patient care through a thoroughly coordinated process;
  • Close monitoring of patient progress through coordinated records and physician conferences.
About the Surgeons

Raphael P. Davis, MD, is associate professor and acting chair of neurosurgery at Stony Brook’s Health Sciences Center.

Dr. Davis received his MD from Mount Sinai School of Medicine in New York, graduating summa cum laude. He trained at Mount Sinai Medical Center under Dr. Leonard Malis, who is considered one of the ‘fathers’ of modern microneurosurgery. Dr. Davis obtained his certification as Diplomate of the American Board of Neurological Surgery in 1990. He was featured in Castle Connolly’s How to Find the Best Doctors: New York Metro Area in 1997. He was promoted to the position of acting chair of neurosurgery and University Hospital’s neurosurgeon-in-chief in 1999.

Eric E. Smouha, MD, is associate professor of surgery (otolaryngology–head and neck surgery) and neurosurgery at Stony Brook. He is the director of otology-neurotology at University Hospital. He received his certification as Diplomate of the American Board of Otolaryngology in 1986, and has been a fellow of the American College of Surgeons (FACS) since 1993.

Dr. Smouha received his MD from McGill University. He trained at St. Vincent’s Hospital and Manhattan Eye, Ear, and Throat Hospital in New York, and the Ear Research Foundation of Florida. Dr. Smouha received the Honor Award from the American Academy of Otolaryngology–Head and Neck Surgery in 1998. In 1999, he was included in the Best Doctors on-line database (formerly Woodward/White’s Best Doctors in America) and Castle Connolly’s How to Find the Best Doctors: New York Metro Area. He is a fellow of the American Neurotology Society and the North American Skull Base Society.

Both surgeons have used their expertise to successfully treat hundreds of patients. They are committed to providing the best care for each individual patient, in a caring and compassionate environment. In addition to our expert surgical team, skilled specialists in interventional neuroradiology, stereotactic radiosurgery, and neuroanesthesiology enhance our services. The Skull Base Program also employs physician assistants and nurse practitioners, most of whom have many years of experience directly in the field of brain and spine surgery.

To Make an Appointment

Patients making appointments for the Skull Base Program may do so by calling 631-444-1213, option 4, and then option 2. The following is a list of items needed to ensure prompt patient care:

  1. Patients MUST bring their MRI films and reports to their appointment.
  2. Patients must bring any hearing test, balance test, and eye exam reports requested.
  3. Patients in managed care plans that require specialist referrals must provide TWO referrals, one for EACH surgeon.
Thank you for your interest in our program. We look forward to being of service.

The comprehensive Skull Base Program is a collaboration between New York Spine and Brain Surgery, PC (Department of Neurological Surgery), and Stony Brook Surgical Associates, PC (Department of Surgery).

Make An Appointment




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Stony Brook Medicine University Physicians provides marketing advice and consultation to the clinical Faculty associated with the University Faculty Practice Corporations (UFPCs). It does not provide medical care directly or indirectly nor does it oversee, direct, manage or supervise the medical care provided by any of the individual Practices. The individual Practices are responsible for the medical care each Practice provides to its patients. Please note that the Practices listed below are separate University Faculty Practice Corporations (UFPCs).