Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/16661
Title: Extended maxillotomy for skull base access in contemporary management of chordomas: rationale and technical aspect
Authors: Abdul Jalil, Muhammad Fahmi;Story, Rowan D;Rogers, Myron
Issue Date: May-2017
EDate: 2017-05
Citation: Journal of Clinical Neuroscience 2017; 39: 212-215
Abstract: 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 25year-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.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16661
DOI: 10.1016/j.jocn.2017.01.031
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/28228324
Type: Journal Article
Subjects: Extended maxillotomy
Chordoma
Skull base
Appears in Collections:Journal articles

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