CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(01): 010-014
DOI: 10.1055/s-0043-1768239
Review Article

Time to Modify Rather than Discard the Transoral Approach to Selected Cases of Clival Chordomas at the Craniocervical Junction

R. W. Kirollos
1   Department of Neurosurgery, Duke-NUS Medical School, National Neuroscience Institute, Singapore, Singapore
,
R. Pillay
1   Department of Neurosurgery, Duke-NUS Medical School, National Neuroscience Institute, Singapore, Singapore
› Author Affiliations

Abstract

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.



Publication History

Article published online:
31 March 2023

© 2022. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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