Endoscopic Endonasal Management of Skull Base Chordomas: Surgical Technique, Nuances, and Pitfalls.

Autor:	Mangussi-Gomes J; São Paulo Skull Base Center, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil; São Paulo ENT Center, Edmundo Vasconcelos Hospital, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil., Beer-Furlan A; São Paulo Skull Base Center, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil; DFVneuro Neurosurgical Group, Rua Dona Adma Jafet, 74, cj.121, São Paulo 01308-050, Brazil., Balsalobre L; São Paulo Skull Base Center, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil; São Paulo ENT Center, Edmundo Vasconcelos Hospital, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil., Vellutini EA; São Paulo Skull Base Center, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil; DFVneuro Neurosurgical Group, Rua Dona Adma Jafet, 74, cj.121, São Paulo 01308-050, Brazil., Stamm AC; São Paulo Skull Base Center, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil; São Paulo ENT Center, Edmundo Vasconcelos Hospital, Rua Afonso Brás, 525, cj. 13, São Paulo 04511-011, Brazil. Electronic address: astamm@terra.com.br.
Jazyk:	angličtina
Zdroj:	Otolaryngologic clinics of North America [Otolaryngol Clin North Am] 2016 Feb; Vol. 49 (1), pp. 167-82.
DOI:	10.1016/j.otc.2015.09.011
Abstrakt:	Chordoma is a rare primary bone tumor derived from transformed notochord remnants. It has a local aggressive behavior and high recurrence rates. Treatment of skull base chordomas is complex and challenging. Control of the disease relies mainly on surgical excision of the tumor, sometimes followed by high-dose radiation therapy. The main surgical goal is to achieve maximal tumor removal with minimal morbidity. Development of the expanded endoscopic endonasal approach has improved surgical and prognostic results of skull base chordomas. This article highlights important aspects of approach selection, technique, and nuances of surgical management of this tumor. (Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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