Adequate tumour surgery on the skull base is, because of the close connection with vital blood vessels and nerve structures, difficult and full of risks. From six rare cases, an account is given here, of experiences which were gained by the combined ENT and neurosurgical team work. Singularly, the approach to processes of the frontal, middle and hind skull base is discussed. Through diagnosis, and when indicated, combined operative team work between the Otolaryngologist and the Neurosurgeon, using microsurgical operative techniques, reorganizational advancements regarding the maintenance of function and functional reconstruction, in the surgery of the base of skull, are possible. Under this aspect, endeavors must be made in this area, by slow growing benign new growths, to establish an early diagnosis, and the earliest possible operation, thus promoting the chances of preservation of the remaining undamaged blood vessels and nerve structures.