Abstract
IntroductionSkull base surgery, although recognised as an interdisciplinary specialty involving both Neurosurgery and Otolaryngology in the West, has been the domain of the Neurosurgeon in West Bengal. Several superspecialty healthcare facilities in the state are now actively promoting endoscopic skull base surgery.
 Structured trainingThe Pittsburgh group has published a systematic training programme for skull base surgery.
 Paradigm shiftFollowing the work of several groups, most notably the Pittsburgh group in the USA, a paradigm shift from open to endoscopic anterior skull base surgery has occurred.
 Learning curveThis paper discusses how the ENT surgeon may negotiate the learning curve in endoscopic skull base surgery in the context of the local resources available.
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