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Surgical Treatment of Skull Base Tumors, Extending to Craniovertebral Junction.
- Source :
-
World neurosurgery [World Neurosurg] 2017 Mar; Vol. 99, pp. 47-58. Date of Electronic Publication: 2016 Dec 10. - Publication Year :
- 2017
-
Abstract
- Objective: To conduct a comparative analysis of 2 groups of patients with skull base chordomas extending onto the craniovertebral junction, who underwent surgical treatment using extracranial approaches with and without craniocervical fusion.<br />Methods: The study group included 29 patients with skull base chordomas, extending to the craniovertebral junction, who were operated on from 2000 to 2015. The patients underwent the following surgical treatment: posterior craniocervical fusion followed by tumor removal using transoral and combined transoral and transnasal approaches. The reference group included 21 patients with the same disease, who underwent tumor removal surgery using the transoral approach without craniocervical fusion.<br />Results: In the study group, in 27.5% of all cases (8 patients), the tumors were removed radically; in 65.5% of all cases (19 patients), the tumors were removed subtotally; and in 7% of all cases (2 patients), the tumors were removed partially. In the reference group, the extent of surgical radicality was as follows: radical, 0%; subtotal, 19% (4 cases); partial, 81% (17 cases).<br />Conclusions: Use of the proposed surgical technique in clinical practice may help increase the radicality of tumor excisions, decrease the number of postoperative complications, accelerate the rehabilitation process, and increase the quality of life in patients with skull base tumors extending to the craniovertebral junction.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Atlanto-Occipital Joint pathology
Child
Female
Humans
Male
Neuroendoscopy methods
Treatment Outcome
Young Adult
Atlanto-Occipital Joint surgery
Chordoma pathology
Chordoma surgery
Natural Orifice Endoscopic Surgery methods
Skull Base Neoplasms pathology
Skull Base Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 99
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 27956253
- Full Text :
- https://doi.org/10.1016/j.wneu.2016.11.147