alexa Transoral-Transpalatal Approach and Endoscopic Endonasal Approach for Chordomas of the Craniovertebral Junction | OMICS International | Abstract
ISSN: 2155-9562

Journal of Neurology & Neurophysiology
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Review Article

Transoral-Transpalatal Approach and Endoscopic Endonasal Approach for Chordomas of the Craniovertebral Junction

Satoka Shidoh1*, Masahiro Toda1, Hideo Nakajima2, Toshiki Tomita3, Kaoru Ogawa3, Takeshi Kawase1 and Kazunari Yoshida1

1Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan

2Department of Plastic Surgery, Keio University School of Medicine, Tokyo, Japan

3Department of Otolaryngology, Keio University School of Medicine, Tokyo, Japan

Corresponding Author:
SatokaShidoh
Department of Neurosurgery
Keio University School of Medicine
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
Tel: +81- 3-5363-3808
Fax: +81-3-3354-8053
E-mail: [email protected]

Received date: July 26, 2013; Accepted date: August 30, 2013; Published date: September 10, 2013

Citation: Shidoh S, Toda M, Nakajima H, Tomita T, Ogawa K, et al. (2013) Transoral- Transpalatal Approach and Endoscopic Endonasal Approach for Chordomas of the Craniovertebral Junction. J Neurol Neurophysiol 4:162. doi:10.4172/2155-9562.1000162

Copyright: © 2013 Shidoh S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Chordomas are tumors arising from notochord remnants, which are often located in midline skull base structures
such as the clivus. The location of the tumor can extend to the craniocervical junction, which can increase the difficulty
in reaching the tumor. The recently developed endonasal endoscopic approach has allows access to the entire
ventral skull base lesion directly. However, it is still difficult to access lesions around the craniovertebral junction. The
transoral-transpalatal approach allows a surgical field up to the upper clivus by removing the hard palate down to the
C3 level. Although the endonasal endoscopic approach is a useful surgical technique for clival lesions, we should
consider using the transoral/transoral-transpalatal approach for lesions between the craniovertebral junction and the
C3 level.

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