Ramin A Morshed,A Yohan Alexander,Salomon Cohen-Cohen,Mar Rodriguez Moril,Miguel Saez Alegre,Jonathan M Morris,Carlos D Pinheiro-Neto,Maria Peris-Celda
{"title":"内窥镜下经鼻腔内和对侧经颌联合方法切除前壁软骨肉瘤:二维手术视频。","authors":"Ramin A Morshed,A Yohan Alexander,Salomon Cohen-Cohen,Mar Rodriguez Moril,Miguel Saez Alegre,Jonathan M Morris,Carlos D Pinheiro-Neto,Maria Peris-Celda","doi":"10.1016/j.wneu.2024.09.034","DOIUrl":null,"url":null,"abstract":"The contralateral transmaxillary corridor improves access to anterior petrous apex lesions back to the level of the internal auditory canal without the need to mobilize the paraclival internal carotid artery. In this video, we present the case of 31-yo female that presented with new left abducens palsy during pregnancy. Imaging revealed a heterogeneous enhancing extradural mass within the left petrous apex region extending posterior to the horizontal segment of the petrous internal carotid artery, consistent with chondrosarcoma. Chondrosarcomas are the 2nd most common osseous malignancy but only consist of 0.2% of all intracranial tumors1,2. They are thought to derive from persistent cartilaginous rests retained after endochondral ossification 3. Given that surgery is a mainstay of treatment 4,5,6, a combined endoscopic endonasal and contralateral transmaxillary approach was selected to achieve maximal resection. The patient consented to the procedure. A complete resection of the mass was performed with pathology demonstrating a grade 2 chondrosarcoma. The patient tolerated the procedure without any complications, the left abducens palsy resolved in follow-up by 3 weeks, and a multidisciplinary tumor board recommended postoperative observation without adjuvant therapy7. An endoscopic endonasal and contralateral transmaxillary approach is a feasible option for petrous apex lesions such as chondrosarcoma.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Combined endoscopic endonasal and contralateral transmaxillary approach for resection of an anterior petrous chondrosarcoma: a 2-dimensional operative video.\",\"authors\":\"Ramin A Morshed,A Yohan Alexander,Salomon Cohen-Cohen,Mar Rodriguez Moril,Miguel Saez Alegre,Jonathan M Morris,Carlos D Pinheiro-Neto,Maria Peris-Celda\",\"doi\":\"10.1016/j.wneu.2024.09.034\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The contralateral transmaxillary corridor improves access to anterior petrous apex lesions back to the level of the internal auditory canal without the need to mobilize the paraclival internal carotid artery. In this video, we present the case of 31-yo female that presented with new left abducens palsy during pregnancy. Imaging revealed a heterogeneous enhancing extradural mass within the left petrous apex region extending posterior to the horizontal segment of the petrous internal carotid artery, consistent with chondrosarcoma. Chondrosarcomas are the 2nd most common osseous malignancy but only consist of 0.2% of all intracranial tumors1,2. They are thought to derive from persistent cartilaginous rests retained after endochondral ossification 3. Given that surgery is a mainstay of treatment 4,5,6, a combined endoscopic endonasal and contralateral transmaxillary approach was selected to achieve maximal resection. The patient consented to the procedure. A complete resection of the mass was performed with pathology demonstrating a grade 2 chondrosarcoma. The patient tolerated the procedure without any complications, the left abducens palsy resolved in follow-up by 3 weeks, and a multidisciplinary tumor board recommended postoperative observation without adjuvant therapy7. An endoscopic endonasal and contralateral transmaxillary approach is a feasible option for petrous apex lesions such as chondrosarcoma.\",\"PeriodicalId\":23906,\"journal\":{\"name\":\"World neurosurgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World neurosurgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.wneu.2024.09.034\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.09.034","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Combined endoscopic endonasal and contralateral transmaxillary approach for resection of an anterior petrous chondrosarcoma: a 2-dimensional operative video.
The contralateral transmaxillary corridor improves access to anterior petrous apex lesions back to the level of the internal auditory canal without the need to mobilize the paraclival internal carotid artery. In this video, we present the case of 31-yo female that presented with new left abducens palsy during pregnancy. Imaging revealed a heterogeneous enhancing extradural mass within the left petrous apex region extending posterior to the horizontal segment of the petrous internal carotid artery, consistent with chondrosarcoma. Chondrosarcomas are the 2nd most common osseous malignancy but only consist of 0.2% of all intracranial tumors1,2. They are thought to derive from persistent cartilaginous rests retained after endochondral ossification 3. Given that surgery is a mainstay of treatment 4,5,6, a combined endoscopic endonasal and contralateral transmaxillary approach was selected to achieve maximal resection. The patient consented to the procedure. A complete resection of the mass was performed with pathology demonstrating a grade 2 chondrosarcoma. The patient tolerated the procedure without any complications, the left abducens palsy resolved in follow-up by 3 weeks, and a multidisciplinary tumor board recommended postoperative observation without adjuvant therapy7. An endoscopic endonasal and contralateral transmaxillary approach is a feasible option for petrous apex lesions such as chondrosarcoma.
期刊介绍:
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS