New Interdisciplinary Approach for Removing Large Clivus and Upper Cervical Spine Tumors
| Autor: | Hirotaka Haro, Seiji Kishimoto, Eriko Nishimura-Ogino, Hiro-oki Okamura, Kenichi Shinomiya, Hiromichi Komori |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Midfacial degloving Retropharyngeal area Le Fort I osteotomy Skull Base Neoplasms Resection Glossotomy Clivus Humans Medicine Neoplasm Invasiveness Patient Care Team Spinal Neoplasms business.industry Magnetic Resonance Imaging Cervical spine Osteotomy Surgery Skull medicine.anatomical_structure Cranial Fossa Posterior Otorhinolaryngology Surgical Procedures Operative Cervical Vertebrae Tracheotomy business |
| Zdroj: | ORL. 65:61-65 |
| ISSN: | 1423-0275 0301-1569 |
| DOI: | 10.1159/000068661 |
| Popis: | We have developed a new interdisciplinary approach for removing large clivus and upper cervical spine tumors. This approach is a combination of the Le Fort I osteotomy, midfacial degloving, and median labiomandibular glossotomy. Our approach gives an excellent, wide surgical field from the nasopharynx, including the base of the skull, to the base of the tongue and permits sufficiently safe extirpation of clivus and upper cervical spine tumors that may not be removed by transoral or transcervical approaches. Our approach not only incorporates the merits of each approach but also creates a larger surgical field that may be modified or expanded to accommodate the removal of more bulky tumors in this region. This novel approach will facilitate more successful resection of tumors arising between the nasopharynx, including the skull base, and the retropharyngeal area. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|