J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803460
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Endoscopic Endonasal Transclival Approach for Pontine Tumor Resection

M. Salman Ali
1   Medical College of Georgia at Augusta University, Augusta, Georgia, United States
,
Kenneth Byrd
1   Medical College of Georgia at Augusta University, Augusta, Georgia, United States
,
Fernando Vale
1   Medical College of Georgia at Augusta University, Augusta, Georgia, United States
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Standard techniques used for elevating nasoseptal flap and sphenoidotomy. Parasellar and paraclival carotid exposure. Clivus is drilled and dura opened. Arachnoid dissection performed. Neuro-stimulation used to identify safe entry point into pons as well as visualizing abnormal discoloration of pons surface. Small opening is gradually expanded preserving surround vasculature. Internal tumor debulking and circumferential dissection and tumor removal. Hemostasis and multilayer closure.



Publication History

Article published online:
07 February 2025

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