Endoscopic Endonasal Infrapetrous Transpterygoid Approach to the Petroclival Junction for Petrous Apex Chondrosarcoma: Technical Report.

Autor:	Maurer AJ; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States., Bonney PA; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States., Iser CR; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States., Ali R; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States., Sanclement JA; Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States ; Oklahoma Comprehensive Brain Tumor Clinic, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States., Sughrue ME; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States ; Oklahoma Comprehensive Brain Tumor Clinic, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.
Jazyk:	angličtina
Zdroj:	Journal of neurological surgery reports [J Neurol Surg Rep] 2015 Jul; Vol. 76 (1), pp. e113-6. Date of Electronic Publication: 2015 Apr 27.
DOI:	10.1055/s-0035-1549222
Abstrakt:	Chondrosarcomas of the skull base are rare tumors that present difficult management considerations due to the pathoanatomical relationships of the tumor to adjacent structures. We present the case of a 25-year-old female patient presenting with a chondrosarcoma of the right petrous apex extending inferiorly, medial to the cranial nerves. The tumor was resected via an endoscopic endonasal infrapetrous transpterygoid approach that achieved complete resection and an excellent long-term outcome with no complications. Technical nuances and potential pitfalls of the case are discussed in depth including measures to protect the carotid artery while performing the required drilling of the skull base to access the lesion.
Databáze:	MEDLINE
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