Abstract:Background: Craniocervical chordoma representing a challenge for surgeons. The endoscopic transoral approach is used for treatment. Additional exposure is required. However, its benefits are not sufficiently addressed. Aim: To evaluate the use of endoscopy in the transoral approach and the benefits of additional exposure in cases of craniocervical chordomas. Patients and Methods: in this study, 12 patients had a confirmed diagnosis of chordoma after histopathological examination due to the presence of cranioce… Show more
“…Although several large surgical series indicated the advantage of the transoral approach to these lesions in these situations, 6 7 here we discuss the exact additional benefit of this approach as complimentary to the EEA and in particular the nuances in achieving maximal benefit and limiting unnecessary morbidity.…”
Section: Are Transoral Approaches For Craniocervical Junction Tumors ...mentioning
confidence: 99%
“…Blind spots using the operating microscopic view beyond the limits of the exposure may be partially overcome by the assistance of angled endoscopes. 7…”
Section: Limitations Of the Transoral Approachesmentioning
confidence: 99%
“…Advanced chordomas of the lower clivus frequently extend caudally at the craniocervical junction (CCJ) presenting a limitation to the EEA. [2][3][4][5] Although several large surgical series indicated the advantage of the transoral approach to these lesions in these situations, 6,7 here we discuss the exact additional benefit of this approach as complimentary to the EEA and in particular the nuances in achieving maximal benefit and limiting unnecessary morbidity.…”
Maintaining the transoral approach in the armamentarium of surgical approaches to clival chordomas mainly as a complimentary procedure to endonasal endoscopic approach in selected cases is advantageous. Lateral extension of the disease is a limitation to both approaches and is addressed by transcranial approaches. Especially for extensive lesions the simultaneous combination of approaches is based upon the predicted blind spots for each approach and certain technical nuances need to be considered.
“…Although several large surgical series indicated the advantage of the transoral approach to these lesions in these situations, 6 7 here we discuss the exact additional benefit of this approach as complimentary to the EEA and in particular the nuances in achieving maximal benefit and limiting unnecessary morbidity.…”
Section: Are Transoral Approaches For Craniocervical Junction Tumors ...mentioning
confidence: 99%
“…Blind spots using the operating microscopic view beyond the limits of the exposure may be partially overcome by the assistance of angled endoscopes. 7…”
Section: Limitations Of the Transoral Approachesmentioning
confidence: 99%
“…Advanced chordomas of the lower clivus frequently extend caudally at the craniocervical junction (CCJ) presenting a limitation to the EEA. [2][3][4][5] Although several large surgical series indicated the advantage of the transoral approach to these lesions in these situations, 6,7 here we discuss the exact additional benefit of this approach as complimentary to the EEA and in particular the nuances in achieving maximal benefit and limiting unnecessary morbidity.…”
Maintaining the transoral approach in the armamentarium of surgical approaches to clival chordomas mainly as a complimentary procedure to endonasal endoscopic approach in selected cases is advantageous. Lateral extension of the disease is a limitation to both approaches and is addressed by transcranial approaches. Especially for extensive lesions the simultaneous combination of approaches is based upon the predicted blind spots for each approach and certain technical nuances need to be considered.
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