The indications for skull base tumor surgery have increased in recent
years primarily because of improving surgical techniques and adjunctiv
e treatment modalities. In this article, we review current and future
adjunctive treatment for cranial base malignancies. Surgically clear t
umor margins are often difficult to achieve in skull base surgery beca
use of unacceptable morbidity to surrounding structures. Current phase
I and II trials of adjunctive radiation and chemotherapy are discusse
d. Future advances in radiation therapy and chemotherapy are introduce
d.