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- Department of Neurosurgery, Lariboisière Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France
Correspondence Address:
Tancredo Alcântara, Department of Neurosurgery, Lariboisière Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
DOI:10.25259/SNI_1117_2024
Copyright: © 2025 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Tancredo Alcântara, Jerold Justo, Tingting Jiang, Rosaria Abbritti, Thibault Passeri, Sébastien Froelich. Targeted chopstick mononostril approach for a lower clivus chordoma. 28-Mar-2025;16:108
How to cite this URL: Tancredo Alcântara, Jerold Justo, Tingting Jiang, Rosaria Abbritti, Thibault Passeri, Sébastien Froelich. Targeted chopstick mononostril approach for a lower clivus chordoma. 28-Mar-2025;16:108. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=13469
Date of Submission
25-Dec-2024
Date of Acceptance
26-Feb-2025
Date of Web Publication
28-Mar-2025
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.
Keywords: Chordoma, Craniovertebral junction, Endoscopic endonasal approach, Skull base, Surgical technique
Video 1
Annotations[1-8]
1) 0:00 – Clinical Presentation 2) 0:18 – Neuroimaging Findings 3) 0:48 – Rationale for the Procedure 4) 1:10 – Risks of the Procedure 5) 1:40 – Potential Benefits 6) 2:05 – Alternative Approaches 7) 2:48 – Description of the Setup 8) 3:10 – Key Surgical Steps 9) 4:19 – Intradural Stage 10) 5:47 – Mucosal suture 11) 6:49 – Disease Background 12) 7:16 – Clinical and Imaging Outcome.
Ethical approval
Institutional Review Board approval is not required.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
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Disclaimer
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
References
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