1 research outputs found
Endoscopic Endonasal Approach in Clival Chordoma Surgery: Case Series
Abstract Chordomas are rare and slow-growing locally
destructive bone tumors that can develop in the craniospinal
axis. It is commonly found in the sacrococcygeal
region whereas only 25–35% are found in the clival region.
Headache with neurological deficits are the most common
clinical presentations. Complete surgical resection either
via open or endoscopic endonasal approaches are the main
mode of treatment. Here, we report a series of 5 cases of
clival chordomas which was managed via endoscopic
endonasal approaches in our center. A retrospective analysis
of patients who had undergone endoscopic endonasal
resection of clival chordoma in Sarawak General Hospital
from 2014 to 2018. A total of 5 cases were operated on
endoscopically via a combine effort of both the otorhinolaryngology
team and the neurosurgical team during the
study period from year 2013 to 2018. From our patient, 2
were female and 3 were male patients. The main clinical
presentation was headache, squinting of eye and nasopharyngeal
fullness. All our patient had endoscopic endonasal
debulking of clival tumor done, with average of hospital
stay from 9 – 23 days. Pos-operatively, patients were discharged
back well. Endoscopic endonasal resection of
clival chordomas gives good surgical resection results with
low morbidity rates and therefore can be considered as a
surgical option in centers where the surgical specialties are
available