Korean J Otorhinolaryngol-Head Neck Surg.  2014 Aug;57(8):543-547. 10.3342/kjorl-hns.2014.57.8.543.

A Case of Endoscopic Removal of Clival Chordoma through Extended Transclival Approach

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. entkwon@hanmail.net

Abstract

Clival chordoma is a rare malignant tumor which arises from the remnants of notochord. Although it is a slow-growing tumor that rarely metastasize to other organs, it is regarded as clinically malignant because of local invasiveness and high recurrence rate. Furthermore, because its location is critical and surgical resection is difficult, it has poor prognosis. Neurosurgeons have traditionally taken the lead in managing tumor, however, with the development of endoscopic techniques and wide spread of usage in skull base surgery, the role of ENT surgeon has become bigger recently. We report a recent case of recurrent clival chordoma successfully removed by endoscopic extended transclival approach.

Keyword

Chordoma; Clivus; Natural orifice endoscopic surgery

MeSH Terms

Chordoma*
Cranial Fossa, Posterior
Natural Orifice Endoscopic Surgery
Notochord
Prognosis
Recurrence
Skull Base
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