Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report
7 p. Electrónico
- Autores:
-
Pamias Portalatin, Eva
Mahato, Deependra
Rincón Torroella, Jordina
Vivas Buitrago, Tito
Quinones Hinojosa, Alfredo
Owusu Boahene, Kofi Derek
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2019
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/3101
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/3101
- Palabra clave:
- Endoscope
Contralateral
Transmaxillary
Tumor
Clivus
Hypoglossal canal
Skull base
Chondroscarcoma
Pituitary surgery
- Rights
- openAccess
- License
- Rights - Journal of Neurosurgery, 2019
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Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| title |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| spellingShingle |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report Endoscope Contralateral Transmaxillary Tumor Clivus Hypoglossal canal Skull base Chondroscarcoma Pituitary surgery |
| title_short |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| title_full |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| title_fullStr |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| title_full_unstemmed |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| title_sort |
Endoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case report |
| dc.creator.fl_str_mv |
Pamias Portalatin, Eva Mahato, Deependra Rincón Torroella, Jordina Vivas Buitrago, Tito Quinones Hinojosa, Alfredo Owusu Boahene, Kofi Derek |
| dc.contributor.author.spa.fl_str_mv |
Pamias Portalatin, Eva Mahato, Deependra Rincón Torroella, Jordina Vivas Buitrago, Tito Quinones Hinojosa, Alfredo Owusu Boahene, Kofi Derek |
| dc.subject.proposal.eng.fl_str_mv |
Endoscope Contralateral Transmaxillary Tumor Clivus Hypoglossal canal Skull base Chondroscarcoma Pituitary surgery |
| topic |
Endoscope Contralateral Transmaxillary Tumor Clivus Hypoglossal canal Skull base Chondroscarcoma Pituitary surgery |
| description |
7 p. Electrónico |
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2019 |
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2019-06-18T13:40:21Z |
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2019-06-18T13:40:21Z |
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2019-05 |
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10.3171/2018.1.JNS171972 |
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0022-3085 1933-0693 |
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https://repositorio.udes.edu.co/handle/001/3101 |
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eng |
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eng |
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Journal of Neurosurgery |
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Rights - Journal of Neurosurgery, 2019 |
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Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) |
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Pamias Portalatin, Eva49d846ad-97a9-4476-a70b-9abccd1f979a-1Mahato, Deependraa1a3ce44-77e5-49b0-b6e8-208e967b0f40-1Rincón Torroella, Jordina63b46af9-5d44-4f84-8a77-4ae111a19d2c-1Vivas Buitrago, Tito6616ecfb-28cf-4df9-8424-0f0bf0624cb7-1Quinones Hinojosa, Alfredo6d5119f2-2152-4743-aac1-decc19deee42-1Owusu Boahene, Kofi Derekd1c8ca3b-70a5-4b75-94be-46020e4177c7-12019-06-18T13:40:21Z2019-06-18T13:40:21Z2019-057 p. ElectrónicoClival lesions are still considered surgically complex due to their anatomical location. Critical structures, such as the internal carotid arteries (ICAs), cavernous sinuses, cranial nerves, and brainstem, may be encased within the lesion. Although advances in endoscopic endonasal approaches have provided new routes to these lesions, exposure and resection of clival tumors through the endonasal route remain a technical challenge. Here, the authors report a left-sided endoscopic transmaxillary approach to access the right aspect of the clivus and the hypoglossal canal. A 35-year-old woman presented with progressive right 6th cranial nerve palsy. MRI revealed a contrast-enhancing right petroclival chondrosarcoma that involved Meckel’s cave and extended into the right hypoglossal canal. An endoscopiccontralateral-transmaxillary approach through a left sublabial incision was used to access the right petroclival region and right hypoglossal canal. A left maxillary osteoplastic flap was elevated to expose the left maxillary sinus. This was followed by a left medial maxillectomy, gaining access to the left posterior nasal cavity. The posterior third of the left inferior turbinate and nasal septum were removed to access the right side of the petroclival region. Near-total resection was achieved without any vascular or neurological complications. A thin shell of residual tumor was left behind due to involvement of vital structures, such as the ICA, and further treated with proton-beam radiotherapy. The endoscopic-contralateral-transmaxillary approach provides a direct surgical corridor and good lateral visualization of the skull base vasculature. This approach allows wide maneuverability around the ICA and hypoglossal canal, which, in this case, allowed maximal tumor resection with full preservation of neurological function.application/pdf10.3171/2018.1.JNS1719720022-30851933-0693https://repositorio.udes.edu.co/handle/001/3101engJournal of NeurosurgeryRights - Journal of Neurosurgery, 2019info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://pdfs.semanticscholar.org/5dc0/64fe3fa3e5ee1302e3d4199ba830089a85a8.pdf?_ga=2.152103677.530428269.1560863338-1782380525.1556661431EndoscopeContralateralTransmaxillaryTumorClivusHypoglossal canalSkull baseChondroscarcomaPituitary surgeryEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal : Technical case reportArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationTHUMBNAILEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdf.jpgEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdf.jpgGenerated Thumbnailimage/jpeg1842https://repositorio.udes.edu.co/bitstreams/c59042f7-e60d-49a0-afc1-45953b6dbce9/downloadbb235135c590512a92463d9697ce4d89MD54TEXTEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdf.txtEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdf.txtExtracted texttext/plain31013https://repositorio.udes.edu.co/bitstreams/346806a4-9b9c-41d5-9851-19da4e41c0f0/download7a209275041936e3e323646165f63296MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/8d9f04b2-62dc-4767-a27b-0e583a67c5b3/download38d94cf55aa1bf2dac1a736ac45c881cMD52ORIGINALEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdfEndoscope-assisted contralateral transmaxillary approach to the clivus and the hypoglossal canal. Technical case report.pdfapplication/pdf299705https://repositorio.udes.edu.co/bitstreams/7efa4e1c-a914-40a7-a7c2-84dafd76d456/download853803fb0399fcc59f4868f495ac98bdMD55001/3101oai:repositorio.udes.edu.co:001/31012023-10-10 13:16:51.667https://creativecommons.org/licenses/by-nc/4.0/Rights - Journal of Neurosurgery, 2019https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo= |