Professor Zhou Bing: Advanced Rhinology and Endoscopic Skull Base Specialist
Professor Zhou Bing is a senior otolaryngologist, professor, doctoral supervisor, and leading rhinology and skull-base specialist at Beijing Tongren Hospital. His clinical and academic work focuses on complex endoscopic sinus surgery, frontal sinus disease, endoscopic skull-base surgery, nose-orbit disorders, allergic nasal disease, and the prelacrimal recess approach.
Clinical and Academic Focus
- complex and revision endoscopic sinus surgery;
- frontal sinus disease and drill-out procedures;
- benign and malignant sinonasal tumors;
- endoscopic skull-base surgery;
- nose-orbit and lacrimal disorders;
- prelacrimal recess approaches;
- cerebrospinal-fluid leak repair;
- chronic rhinosinusitis and nasal polyps; and
- second opinions before high-risk endoscopic surgery.
Complex Endoscopic Sinus Surgery
Endoscopic sinus surgery uses the nostrils as a natural corridor to open obstructed sinuses, remove disease when necessary, and improve delivery of topical medicine. Complex cases may involve distorted anatomy, extensive polyps, scarring, bone growth, previous surgery, or disease close to the eye and brain.
Navigation, high-resolution CT, MRI, angled endoscopes, powered instruments, and careful preservation of healthy lining can support safer surgery. Technology does not replace anatomical expertise.
Frontal Sinus Surgery
The frontal sinus has narrow, variable drainage anatomy and can be difficult to access. Treatment ranges from limited opening to extended procedures such as a frontal drill-out in selected recurrent or severe cases.
Professor Zhou proposed an endoscopic classification of the frontal recess and has contributed to research on mucosal flaps to reduce new bone formation after extended frontal surgery.
Prelacrimal Recess Approach
The prelacrimal recess approach provides endoscopic access to areas of the maxillary sinus that are difficult to reach through standard openings. It can help treat selected tumors, fungal disease, foreign bodies, cysts, and recurrent maxillary disease while preserving important nasal structures.
Professor Zhou pioneered and promoted this approach. Suitability depends on anatomy, lesion location, tear-duct position, pathology, and previous surgery.
Endoscopic Skull Base Surgery
Selected skull-base tumors and defects can be approached through the nose using an endoscope. These procedures may involve the pituitary region, clivus, anterior skull base, cavernous sinus, or adjacent structures.
Planning often requires collaboration among rhinologists, neurosurgeons, ophthalmologists, radiologists, pathologists, and radiation oncologists. The aim is disease control while protecting vision, cranial nerves, brain tissue, and major blood vessels.
Cerebrospinal-Fluid Leak
A cerebrospinal-fluid leak can cause clear one-sided nasal drainage and increase the risk of meningitis. Diagnosis may include fluid testing, high-resolution CT, MRI, or specialized localization studies.
Endoscopic repair can use local or vascularized tissue flaps. Fever, severe headache, neck stiffness, or confusion requires urgent local care.
Sinonasal Tumors
Sinonasal tumors can present with one-sided obstruction, bleeding, facial numbness, eye symptoms, smell loss, or persistent sinus complaints. Biopsy and imaging are required because benign and malignant lesions can look similar.
Treatment may involve endoscopic or open surgery, radiation, systemic therapy, or a combined strategy. Tumor biology and safe margins matter more than incision size.
Nose-Orbit Disorders
Sinus and skull-base disease can affect the eye socket, tear drainage system, optic nerve, and extraocular muscles. Multidisciplinary planning is important when symptoms include double vision, eye displacement, reduced vision, tearing, or orbital infection.
Who May Consider a Consultation?
- patients with persistent or recurrent sinusitis after surgery;
- patients with difficult frontal or maxillary sinus disease;
- patients with a benign or malignant sinonasal tumor;
- patients considering endoscopic skull-base surgery;
- patients with a suspected cerebrospinal-fluid leak;
- patients with sinus disease affecting the orbit or tear duct;
- patients advised to undergo an extended endoscopic approach; or
- patients seeking a second opinion before revision surgery.
Medical Records to Prepare
- a concise symptom and treatment timeline;
- thin-slice sinus and skull-base CT in original DICOM format;
- contrast-enhanced MRI and vascular imaging when available;
- nasal endoscopy images and videos;
- all previous sinus, skull-base, eye, and neurosurgical reports;
- pathology slides, paraffin blocks, cultures, and molecular results;
- visual, eye-movement, hearing, smell, and tear-duct assessments;
- cerebrospinal-fluid testing when relevant;
- a complete medication and allergy history; and
- a clear list of treatment and function-preservation goals.
Planning an International Consultation
Sudden vision change, eye swelling, severe headache, fever, neck stiffness, neurological symptoms, heavy nosebleeding, or rapidly worsening one-sided symptoms requires urgent local care.
Stable patients should confirm whether original CT, MRI, endoscopy, and pathology can be reviewed. Remote medical-record review requires physician authorization. Final surgical eligibility usually requires in-person nasal endoscopy and multidisciplinary assessment.
How CMCS Can Assist
CMCS – China Medical Concierge Shanghai is an independent medical concierge and health management company, not a hospital. We assist international patients with organizing and translating rhinology and skull-base records, identifying an appropriate specialist, requesting appointment availability, arranging interpretation, and planning medical travel in China.
Access to Professor Zhou, remote review, endoscopic surgery, skull-base surgery, or a particular approach is subject to doctor and hospital approval. CMCS does not guarantee appointments, procedure eligibility, complete tumor removal, function preservation, or clinical outcomes.
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Important Note
Doctor titles, clinical roles, devices, procedures, and appointment arrangements may change. This profile is based on the supplied verified research document and is for general information only. It does not replace assessment by a qualified rhinology and skull-base team.
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