Surgical Excision of Clivus Chordoma with the Use of Coblator—A Case Report

Shah, Siddharth; Gandh, Roma; Brahmbahtt, Hemang; Viswakarma, Rajesh

doi:10.4236/ijohns.2015.43035

Cited by 1 publication

(2 citation statements)

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“…For intracranial chordomas the most common site of orgin is from the spheno-occipital synchondrosis of the clivus. The clivus is the surface of a portion of sphenoid and occipital bone in the base of the skull and is surrounded by the neural and vascular structures of the brainstem, which includes both internal carotid arteries [5]. The site of origin of chordomas can be along the upper clivus (basisphenoid) or along the caudal margin of the clivus (basiocciput).…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Resection of Clival Chordoma: A Tertiary Care Experience

Zacharias

Rout

Dash

2019

Indian J Otolaryngol Head Neck Surg

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The primary management of the rare tumor chordoma is always surgical. This study indicates the advantage of endoscopic approach for clival chordoma resection. This is a Retrospective case series of 7 endoscopically operated clival chordoma patients between May 2015 and April 2018 in our tertiary care hospital. 5 patients presented with primary disease and 2 were recurrent disease cases. Endoscopic endonasal transphenoidal approach with wide clearance of margins of tumor were performed in all 7 cases. High energy photon radiotherapy were delivered to all. All patients with primary disease as well as recurrent disease had no evidence of disease 24-32 months post surgery. Endoscopic endonasal transphenoidal approach for clival chordoma provides a safe and reliable tumor resection. This less invasive surgery can be considered as an alternative to traditional surgical technique with reduced morbidity. This approach represents a combination of various endoscopic surgical techniques which are minimally invasive and can be applied to ventral skull base surgery.

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Section: Discussionmentioning

confidence: 99%

“…Therefore the most common site of chordoma is sacrococcygeal (50%) followed by skull base (35%) especially clival region and vertebra (15%) [4]. Even though chordomas are rare and slow-growing, they are invasive and locally destructive tumors [5]. Locally aggressive clival chordomas can even results in lytic bony distruction.…”

Section: Introductionmentioning

confidence: 99%