Approach     2002-2008 2009-2012 Anterior   Transnasal 9 9     Trasoral-transpalatal 9 2     Trans Maxillar 1 0     Others 7 2 Lateral Middle fossa   transpetrosal 15 2     subtemporal 5 7     Others 1 0 Posterior fossa   lateral suboccipital/ transjugular/ transcondylar 13 4 Total 86   60 26

Table 1: All chordoma cases over the previous 10 years (2002-2012) in our institution were analyzed with this approach. Between 2009 and 2012, all transnasal cases were treated with EEA.