Revolutionary Minimally Invasive Approach

Since returning to Perth in 2013, Dr. Bala established Western Australia's premier endoscopic skull base service, offering patients a revolutionary alternative to traditional open brain surgery.

The key advantage: No head incisions, no hair shaving, faster recovery.

What Makes This Different?

Unlike traditional surgery that requires opening the skull, our endoscopic approach uses advanced camera technology inserted through the nostrils to reach tumors at the skull base. This minimally invasive technique offers:

• No visible scars - Surgery performed entirely through the nose
• No hair shaving required
• Faster recovery - Patients typically up and walking the day after surgery
• Superior visualization - High-definition cameras provide exceptional clarity
• Reduced complications - Brain tissue remains untouched in most cases

The Team Approach

This advanced surgery requires close collaboration between Dr. Bala and specially trained ENT surgeons. This team-based approach ensures optimal outcomes and safety for complex procedures.

Conditions Treated

Our endoscopic techniques are ideal for:

• Pituitary tumors (over 600 cases completed)
• Meningiomas at the skull base
• CSF leaks
• Sinus tumors
• Tumors affecting optic nerves

Why Choose Dr. Bala?

• Largest pituitary surgery experience in Australia - Over 600 cases
• Fellowship trained in skull base surgery
• Extensive experience - Over 200 additional skull base procedures
• Only 2 fellowship-trained pituitary surgeons in Western Australia

What to Expect

Recovery: Most patients experience temporary loss of smell for approximately two months, which typically returns completely. Unlike traditional surgery, there's no risk of seizures from brain exposure, and hospital stays are significantly shorter.

Ideal Candidates: Patients with tumors located at the skull base, pituitary gland, or affecting the sinuses and optic pathways.