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- W2360483516 abstract "Objective To explore application of endoscopic endonasal approach in surgery for clival chordoma and chordosarcoma.Methods Seven patients with chordoma and 2 with chordosarcoma were managed by endoscopic endonasal surgery during November 2002 to February 2006.Three cases of all the patients were relapse.Headache presented in all the patients,diplopia in 4,visual dysfunction or blindness in 3,nasal obstruction and hyposmia or anodmia in 4 and facial numbness in 1.Tumors invaded both the cavernous sinus and internal carotid in 4 cases,petrous apex in 5 and the atlantoaxial region in 2.Follow-up periods ranged from 3 to 39 months.Results Total removal was achieved in 6 cases of chordoma and 1 chordosarcoma,and subtotal removal in 1 chordoma and 1 chordosarcoma.Postoperative subarachnoid hemorrhage occurred in 1 patient.At last follow-up,7 patients had no relapse and 1 was alive with disease.The chordoma had recurred in 1 patient after 5 months with subtotal removal.Conclusion Endoscopic endonasal approach can provide a better visualization of the deeper anatomical structures in the skull base,an ability to 'look around corners' and a large surgical field.In addition,it promises a simple and rapid access to the clivus.Therefore it is a safe and efficient surgical approach for clival chordoma and chordosarcoma." @default.
- W2360483516 created "2016-06-24" @default.
- W2360483516 creator A5002323864 @default.
- W2360483516 date "2006-01-01" @default.
- W2360483516 modified "2023-09-23" @default.
- W2360483516 title "Endoscopic endonasal surgery for clival chordoma and chordosarcoma" @default.
- W2360483516 hasPublicationYear "2006" @default.
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