Endoscopic endonasal transclival approach for clivus chordoma [Neurosurgery Wiki]

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====== Endoscopic endonasal transclival approach for clivus chordoma ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1diOUTbPywnqr1ieYmt0EtkBo3RdJApCLfCtSblDp1fJquE9tA/?limit=15&utm_campaign=pubmed-2&fc=20240225092324}}

[[Endoscopic endonasal transclival approach]] for [[clivus chordoma]] is a feasible and safe surgical access for many
((Holzmann D, Reisch R, Krayenbühl N, Hug E, Bernays RL. The transnasal transclival approach for clivus chordoma. Minim Invasive Neurosurg. 2010 Oct;53(5-6):211-7. doi: 10.1055/s-0030-1267929. Epub 2011 Feb 7. PubMed PMID:21302187.))
((Saito K, Toda M, Tomita T, Ogawa K, Yoshida K. Surgical results of an endoscopic endonasal approach for clival chordomas. Acta Neurochir (Wien) 2012;154(5):879–886.))
((Fraser J F Nyquist G G Moore N Anand V K Schwartz T H Endoscopic endonasal minimal access approach to the clivus: case series and technical nuances Neurosurgery 2010. 673, (Suppl Operative):ons150–ons158.ons158; discussionons158)).

For large tumors intraoperative MRI (IMRI)  is of significant help. Dural reconstruction of large defects emerged as the greatest challenge of this technique even for experienced endoscopic surgeons
((Holzmann D, Reisch R, Krayenbühl N, Hug E, Bernays RL. The transnasal transclival approach for clivus chordoma. Minim Invasive Neurosurg. 2010 Oct;53(5-6):211-7. doi: 10.1055/s-0030-1267929. Epub 2011 Feb 7. PubMed PMID:21302187.)).