360° access to the skull base

Choosing the optimal approach to a given skull base tumor continues to be a matter of great debate. While endoscopy has revolutionized the management of various cranial base pathologies a thorough understanding of all approaches available to the skull base team is critical in order to properly manage these lesions. Herein, we present an overview of the most relevant approaches used to access the skull base. It is important for the skull base surgeon to be familiar with these approaches and understand what each approach can achieve.