New advances in anterior cranial base surgery have dictated the need for a
comprehensive, multidisciplinary approach in the treatment of lesions of th
is area, necessitating multiple modes of diagnostic and surgical techniques
. Traditional consideration of the complex problems presented by neoplastic
involvement of the anterior cranial base predicated on isolated syndrome a
nalysis is no longer sufficient to adequately assess tumor pathology, To ad
dress these complex problems, we discuss a method of localization of pathol
ogy based on anatomic structure and function as well as the corresponding s
urgical approach to the anterior cranial base.