کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5629965 1580277 2017 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Tools and techniquesExtended maxillotomy for skull base access in contemporary management of chordomas: Rationale and technical aspect
ترجمه فارسی عنوان
ابزارها و تکنیک ها ویزیت های عضلانی برای دسترسی پایه جمجمه در مدیریت معاصر کوردوماها: جنبه فنی و فنی
کلمات کلیدی
فک بالا کوردومای، پایه جمجمه،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


- Transoral approach still has its role when dealing with a large clival chordoma.
- Extended maxillotomy technique is described here in detail.
- Maximal surgical resection is the key to maximize survival in patient with chordoma.

Minimally invasive approaches to the central skull base have been popularized over the last decade and have to a large extent displaced 'open' procedures. However, traditional skull base surgery still has its role especially when dealing with a large clival chordoma where maximal surgical resection is the principal goal to maximize patient survival. In this paper, we present a case of a 25 year-old male patient with chordoma in the inferior clivus which was initially debulked via a transnasal endoscopic approach. He unfortunately had a large recurrence of tumor requiring re-do resection. With the aim to achieve maximal surgical resection, we then chose the technique of a transoral approach with Le Fort 1 maxillotomy and midline palatal split. Post-operative course for the patient was uneventful and post-operative MRI confirmed significant debulking of the clival lesion. The technique employed for the surgical procedure is presented here in detail as is our experience over two decades using this technique for tumors, inflammatory lesions and congenital abnormalities at the cranio-cervical junction.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 39, May 2017, Pages 212-215
نویسندگان
, , ,