[Transmaxillary approach for surgical removal of clival chordomas: study of 10 cases].
Zhonghua Yi Xue Za Zhi
; 85(20): 1379-81, 2005 Jun 01.
Article
em Zh
| MEDLINE
| ID: mdl-16029647
ABSTRACT
OBJECTIVE:
To study the effectiveness and clinical significance of transmaxillary approach for surgical removal of Al-Mefty type III clival chordomas.METHODS:
Ten cases of Al-Mefty type III clival chordoma were treated via the transmaxillary approach and followed up for 34 months on average (10 approximately 56 months).RESULTS:
Microscopic total removal of the tumors was achieved in 8 patients, and subtotal removal was achieved in the rest 2 patients. Three patients had tumor recurrence but still lived with tumors 26, 36, and 40 months after operation. The other 7 patients resumed their routine life without tumor. The postoperative complications included infection in 1 case that was cured by antibiotic therapy, postoperative obstructive dyspnoea in 1 case that required tracheostomy, and CSF leakage in 1 case that stopped spontaneously 3 weeks after operation.CONCLUSION:
With better exposure, complete removal, and with less brain damages and satisfactory results, transmaxillary approach is effective for surgical treatment of Al-Mefty type III clival chordomas.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cordoma
/
Neoplasias da Base do Crânio
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Ano de publicação:
2005
Tipo de documento:
Article