Surgeons Remove Grapefruit-Sized meningioma From Man's Brain

Houston Methodist surgeons joined forces to remove a giant brain tumor from a Louisiana patient, ultimately crafting a new prosthetic skull piece that "fits like a glove".

Seventy-year-old Chris DeHart's medical journey took nine surgeries and more than 2 ½ years, culminating Oct. 18 when the last set of sutures in the scalp finally came out.

The atypical tumor, a meningioma, hijacked the frontal lobe of DeHart's brain, extended into his sinuses and eye sockets and had begun snaking down into his nostrils when doctors near his home in Morgan City, LA, told the couple they "needed to find the best brain surgeon in the country" and would need a team of doctors-including an ear, nose and throat surgeon and plastic surgeon-to tackle the massive tumor.

Neurosurgeon Dr. David Baskin, otolaryngology-head and neck surgeon Dr. Mas Takashima and plastic surgeon Dr. Michael Klebuc were ready for the challenge, collaborating to find the right technology and teamwork to solve the complicated problem. DeHart and his wife of 48 years-Gail-put their faith and trust in what became their "dream team".

"We used technology not available five or 10 years ago," says Baskin. Virtual reality and surgical theater-technology that allowed them to virtually fly through the brain and see where everything was located-helped them plan surgeries ahead of time. They used a 3D-printed scaffold to design the piece of missing skull removed to get at the tumor – it fit like a glove, Baskin says.

"And at Houston Methodist, we are blessed to have world experts from different specialties working together," adds Baskin. "More than 50 people were involved in the planning and surgeries that took place."

Removing the tumor from both the brain and the nose was only part of the surgeons' challenge-they had to create a stable and secure barrier between the brain and the nose to avoid complications like meningitis. They filled up the space taken up by the tumor by borrowing a segment of expendable muscle and its nutrient blood vessel from DeHart's thigh, placed it in the base of the skull to separate the nose from the brain, then attached it to blood vessels in front of the ear.