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136895

Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

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 craniocervical destructive lesions. The author performed all surgical cases using a microscopic transoral approach in 6 patients, an endoscopic-assisted microscopic transoral approach in 3 patients, and a purely endoscopic transoral approach in 3 patients. Eight patients required posterior cervical fusion according to the extent of instability. Preoperative and postoperative data were collected, including radiological examination and clinical status data.
Results: in this study, 12 patients were evaluated clinically and radiologically. It was found that the use of endoscopic assistance in the microscopic transoral approach, or the use of the purely endoscopic transoral approach,added greater angles of exposure of the tumors that could not be reached when using a microscope alone. This led to greater tumor removal and excision with the same precautions and safety for the patient using these approaches compared with the use of the microscopic approach alone. The use of endoscopy alone minimized the incision of the posterior pharyngeal wall and led to good healing, which is an important goal in this field and additional angles of view.
Conclusion: The use of endoscopy either for assistance in the microscopic transoral approach or alone led to the safe implementation and greater extent of tumor removal and excision. We recommend the use of endoscopy in such cases.

DOI

10.21608/ijma.2021.42543.1165

Keywords

Key Words: Transoral approach, Endoscopic-assisted, Craniocervical, Chordoma, endoscopic transsphenoidal approach

Authors

First Name

Mohammad Fathy

Last Name

Eissa

MiddleName

Mohammad

Affiliation

Department of Neurosurgery, Faculty of Medicine for Girls, Al-Azhar University, Egypt

Email

mohammadfathyeissa@azhar.edu.eg

City

-

Orcid

0000-0002-9107-5352

First Name

Mohamed Soleiman

Last Name

Mohamed Soleiman

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

neuro_2007@yahoo.com

City

-

Orcid

-

First Name

Gasser

Last Name

Al-Shayal

MiddleName

Hasan

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

gasserhssn@yahoo.com

City

-

Orcid

-

First Name

Tawfik

Last Name

Elkhol

MiddleName

Abdelaaty

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt

Email

tawfik.abdelaty@azhar.edu.eg

City

-

Orcid

-

First Name

Ibrahim

Last Name

Eldsoky

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt

Email

ibrahimeldsokyorl@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Ellabbad

MiddleName

Ahmed Abdelwahid

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Egypt

Email

mellabbad@hotmail.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-09-11

Publish Date

2021-01-01

Page Start

1,172

Page End

1,178

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1172-1178.pdf

PDF . 1.9MB

Link

https://ijma.journals.ekb.eg/article_136895.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=136895

Order

36

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas

Details

Type

Article

Created At

22 Jan 2023