{"title":"Targeted chopstick mononostril approach for a lower clivus chordoma.","authors":"Tancredo Alcântara, Jerold Justo, Tingting Jiang, Rosaria Abbritti, Thibault Passeri, Sébastien Froelich","doi":"10.25259/SNI_1117_2024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chordomas are rare, aggressive tumors often located at the craniovertebral junction. Endoscopic approaches are increasingly used for their treatment.</p><p><strong>Case description: </strong>We present a case of a patient with a chordoma at the craniovertebral junction treated through a mononostril endoscopic approach, enabling total resection with minimal nasal morbidity. The technique minimized nasal structure manipulation and avoided complications such as cerebrospinal fluid leaks. The nasopharyngeal mucosa was carefully sutured at the end of the procedure, further reducing postoperative nasal morbidity.</p><p><strong>Conclusion: </strong>The endoscopic \"chopstick\" approach, with mucosal suturing, offers reduced nasal morbidity and favorable recovery in craniovertebral junction chordomas.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"108"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980753/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_1117_2024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Chordomas are rare, aggressive tumors often located at the craniovertebral junction. Endoscopic approaches are increasingly used for their treatment.
Case description: We present a case of a patient with a chordoma at the craniovertebral junction treated through a mononostril endoscopic approach, enabling total resection with minimal nasal morbidity. The technique minimized nasal structure manipulation and avoided complications such as cerebrospinal fluid leaks. The nasopharyngeal mucosa was carefully sutured at the end of the procedure, further reducing postoperative nasal morbidity.
Conclusion: The endoscopic "chopstick" approach, with mucosal suturing, offers reduced nasal morbidity and favorable recovery in craniovertebral junction chordomas.
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