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How I do it? Resection of residual petrous apex chordoma with combined endoscopic endonasal and contralateral transmaxillary approaches.

Authors:
Ming Shen Xuefei Shou Yao Zhao Yongfei Wang

Acta Neurochir (Wien) 2022 Jul 26;164(7):1967-1972. Epub 2022 May 26.

Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.

Background: The petrous apex is one of the most challenging areas of the skull base to access.

Method: We present a case of residual petrous apex chordoma posterolateral to the paraclival segment of the internal carotid artery (ICA) resected with combined endoscopic endonasal and contralateral transmaxillary (CTM) approaches, without lateralization of the ICA.

Conclusion: This case demonstrates the value of the CTM corridor in resecting petrous apex lesions that are posterolateral to the paraclival segment of the ICA.

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http://dx.doi.org/10.1007/s00701-022-05243-5DOI Listing
July 2022

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