Transoral vs. Endoscopic Endonasal Approach for Clival/Upper Cervical Chordoma
نویسندگان
چکیده
منابع مشابه
Transoral vs. Endoscopic Endonasal Approach for Clival/Upper Cervical Chordoma
The surgical results of 18 cases of clival/upper cervical chordoma treated in the last decade via the endoscopic endonasal approach (EEA, 9 cases) and the transoral-transpalatal approach (TO-TPA, 9 cases) were compared. Each group showed the same incidence of subdural invasion, with 5 cases each. The superior (frontal base) and lateral surgical fields were wider by EEA, but the inferior view lo...
متن کاملCombined endoscopic endonasal and posterior cervical approach to a clival chordoma.
Chordomas in the clival-cervical region present challenges to the neurosurgical team due to their encroaching nature, proximity to critical neurovascular structures and often large size due to late presentation. This report illustrates the utility of a staged approach when confronted with such a pervasive tumour. We describe the adaptive combination of two approaches, the endoscopic endonasal t...
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Chordomas often arise from the midline clivus and extend bidirectional into the nasopharynx, intracranium, CVJ, and upper cervical area. To achieve longer survival rates, the first choice of treatment for this type of epidural tumor is complete surgical removal because of their high recurrence rates [1-6]. Nevertheless, it is difficult to achieve complete removal because of their extensiveness ...
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Upper cervical chordoma (UCC) is rare condition and poses unique challenges to surgeons. Even though transoral approach is commonly employed, a minimally invasive technique has not been established. We report a 44-year old Malay lady who presented with a 1 month history of insidious onset of progressive neck pain without neurological symptoms. She was diagnosed to have an axial (C2) chordoma. I...
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Co-occurrence of different brain tumors is rarely observed, being more frequent in patients affected by genetic syndromes like phacomatoses. Different histological types of intracranial lesions may present at different times in the clinical history of the patient or, more rarely, they may occurr at the same moment. In these last cases, particularly for tumors located in adjacent areas of the br...
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ژورنال
عنوان ژورنال: Neurologia medico-chirurgica
سال: 2014
ISSN: 0470-8105,1349-8029
DOI: 10.2176/nmc.st.2014-0135