Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma.

Autor:	Baker KE; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States., Robbins AC; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States., Kumm ZT; Department of Pathology, The Ohio State University, Columbus, OH, United States., Ziemke MK; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States., Washington CW; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States., Luzardo GD; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States., Taylor CS; Department of Radiology, The University of Mississippi Medical Center, Jackson, MS, United States., Stringer SP; Department of Otolaryngology, The University of Mississippi Medical Center, Jackson, MS, United States., Zachariah MA; Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in oncology [Front Oncol] 2023 Mar 01; Vol. 13, pp. 1039159. Date of Electronic Publication: 2023 Mar 01 (Print Publication: 2023).
DOI:	10.3389/fonc.2023.1039159
Abstrakt:	Clival chordomas are locally invasive midline skull base tumors arising from remnants of the primitive notochord. Intracranial vasculature and cranial nerve involvement of tumors in the paraclival region necessitates image guidance that provides accurate real-time feedback during resection. Several intraoperative image guidance modalities have been introduced as adjuncts to endoscopic endonasal surgery, including stereotactic neuronavigation, intraoperative ultrasound, intraoperative MRI, and intraoperative CT. Gross total resection of chordomas is associated with a lower recurrence rate; therefore, intraoperative imaging may improve long-term outcomes by enhancing the extent of resection. However, among these options, effectiveness and accessibility vary between institutions. We previously published the first use of an end-firing probe in the resection of a clival chordoma. End-firing probes provide a single field of view, primarily limited to depth estimation. In this case report, we discuss the benefits of employing a novel minimally invasive side-firing ultrasound probe as a cost-effective and time-efficient option to navigate the anatomy of the paraclival region and guide endoscopic endonasal resection of a large complex clival chordoma. Competing Interests: MZ owns stock in Exelixis and Zinnia Healthcare, for whom he has also consulted. He has participated in prior research projects that were supported by BK Medical. He also has research support from the University of Mississippi Medical Center for clinical and translational research. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be constructed as a potential conflict of interest. (Copyright © 2023 Baker, Robbins, Kumm, Ziemke, Washington, Luzardo, Taylor, Stringer and Zachariah.)
Databáze:	MEDLINE
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