title: Building a Successful Endoscopic Skull Base and Pituitary Surgery Practice.
abstract: Building an endoscopic cranial base practice can be challenging and is predicated on the right team. Successful outcomes stem from an efficient and talented team that improves its skills experientially in a supportive environment. As with most new endeavors that are beyond the traditional approach, there is a great deal of up-front effort and investment required. This article explores some of the key building blocks necessary for a successful endoscopic cranial base and pituitary program and highlights some of the lessons learned during the authors' journey at the Cleveland Clinic.
authors.affiliation: Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue, A71, Cleveland, OH 44195, USA; Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Avenue, S73, Cleveland, OH 44195, USA. Electronic address: sindwar@ccf.org.
authors.forename: Raj
authors.initials: R
authors.lastname: Sindwani
authors.affiliation: Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue, A71, Cleveland, OH 44195, USA; Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Avenue, S73, Cleveland, OH 44195, USA.
authors.forename: Troy D
authors.initials: TD
authors.lastname: Woodard
authors.affiliation: Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue, A71, Cleveland, OH 44195, USA; Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Avenue, S73, Cleveland, OH 44195, USA.
authors.forename: Pablo F
authors.initials: PF
authors.lastname: Recinos
mesh_terms: D002983:Clinical Competence; D004724:Endoscopy; D006801:Humans; D008279:Magnetic Resonance Imaging; D010348:Patient Care Team / Q000458:organization & administration*; D010902:Pituitary Gland / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*
keywords: 2-surgeon approach; Building a practice; Cranial base surgery; Endoscopic skull base surgery; Lessons learned; Minimally invasive skull base surgery