Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas

Background: Craniocervical chordoma representing a challenge for surgeons. The endoscopic transoral approach is used for treatment. Additional exposure is required. However, its benefits are not sufficiently addressed. Aim: To evaluate the use of endoscopy in the transoral approach and the benefi...

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Autores principales:	Mohammad Fathy Eissa, Mohamed Soleiman Mohamed Soleiman, Gasser Al-Shayal, Tawfik Elkhol, Ibrahim Eldsoky, Mohamed Ellabbad
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	key words: transoral approach endoscopic-assisted craniocervical chordoma endoscopic transsphenoidal approach Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/701d0017175b44769847e3b808ebd684
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spelling	oai:doaj.org-article:701d0017175b44769847e3b808ebd6842021-12-02T14:33:24ZMicroscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas2636-41742682-378010.21608/ijma.2021.42543.1165https://doaj.org/article/701d0017175b44769847e3b808ebd6842021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_136895_9e18f25fae9223ed7fc698c1ff312b5b.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Craniocervical chordoma representing a challenge for surgeons. The endoscopic transoral approach is used for treatment. Additional exposure is required. However, its benefits are not sufficiently addressed. Aim: To evaluate the use of endoscopy in the transoral approach and the benefits of additional exposure in cases of craniocervical chordomas. Patients and Methods: in this study, 12 patients had a confirmed diagnosis of chordoma after histopathological examination due to the presence of craniocervical destructive lesions. The author performed all surgical cases using a microscopic transoral approach in 6 patients, an endoscopic-assisted microscopic transoral approach in 3 patients, and a purely endoscopic transoral approach in 3 patients. Eight patients required posterior cervical fusion according to the extent of instability. Preoperative and postoperative data were collected, including radiological examination and clinical status data. Results: in this study, 12 patients were evaluated clinically and radiologically. It was found that the use of endoscopic assistance in the microscopic transoral approach, or the use of the purely endoscopic transoral approach,added greater angles of exposure of the tumors that could not be reached when using a microscope alone. This led to greater tumor removal and excision with the same precautions and safety for the patient using these approaches compared with the use of the microscopic approach alone. The use of endoscopy alone minimized the incision of the posterior pharyngeal wall and led to good healing, which is an important goal in this field and additional angles of view. Conclusion: The use of endoscopy either for assistance in the microscopic transoral approach or alone led to the safe implementation and greater extent of tumor removal and excision. We recommend the use of endoscopy in such cases.Mohammad Fathy EissaMohamed Soleiman Mohamed SoleimanGasser Al-ShayalTawfik ElkholIbrahim EldsokyMohamed EllabbadAl-Azhar University, Faculty of Medicine (Damietta)articlekey words: transoral approachendoscopic-assistedcraniocervicalchordomaendoscopic transsphenoidal approachMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1172-1178 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	key words: transoral approach endoscopic-assisted craniocervical chordoma endoscopic transsphenoidal approach Medicine (General) R5-920
spellingShingle	key words: transoral approach endoscopic-assisted craniocervical chordoma endoscopic transsphenoidal approach Medicine (General) R5-920 Mohammad Fathy Eissa Mohamed Soleiman Mohamed Soleiman Gasser Al-Shayal Tawfik Elkhol Ibrahim Eldsoky Mohamed Ellabbad Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
description	Background: Craniocervical chordoma representing a challenge for surgeons. The endoscopic transoral approach is used for treatment. Additional exposure is required. However, its benefits are not sufficiently addressed. Aim: To evaluate the use of endoscopy in the transoral approach and the benefits of additional exposure in cases of craniocervical chordomas. Patients and Methods: in this study, 12 patients had a confirmed diagnosis of chordoma after histopathological examination due to the presence of craniocervical destructive lesions. The author performed all surgical cases using a microscopic transoral approach in 6 patients, an endoscopic-assisted microscopic transoral approach in 3 patients, and a purely endoscopic transoral approach in 3 patients. Eight patients required posterior cervical fusion according to the extent of instability. Preoperative and postoperative data were collected, including radiological examination and clinical status data. Results: in this study, 12 patients were evaluated clinically and radiologically. It was found that the use of endoscopic assistance in the microscopic transoral approach, or the use of the purely endoscopic transoral approach,added greater angles of exposure of the tumors that could not be reached when using a microscope alone. This led to greater tumor removal and excision with the same precautions and safety for the patient using these approaches compared with the use of the microscopic approach alone. The use of endoscopy alone minimized the incision of the posterior pharyngeal wall and led to good healing, which is an important goal in this field and additional angles of view. Conclusion: The use of endoscopy either for assistance in the microscopic transoral approach or alone led to the safe implementation and greater extent of tumor removal and excision. We recommend the use of endoscopy in such cases.
format	article
author	Mohammad Fathy Eissa Mohamed Soleiman Mohamed Soleiman Gasser Al-Shayal Tawfik Elkhol Ibrahim Eldsoky Mohamed Ellabbad
author_facet	Mohammad Fathy Eissa Mohamed Soleiman Mohamed Soleiman Gasser Al-Shayal Tawfik Elkhol Ibrahim Eldsoky Mohamed Ellabbad
author_sort	Mohammad Fathy Eissa
title	Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
title_short	Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
title_full	Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
title_fullStr	Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
title_full_unstemmed	Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas
title_sort	microscopic and endoscopic transoral approaches for the management of craniocervical chordomas
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/701d0017175b44769847e3b808ebd684
work_keys_str_mv	AT mohammadfathyeissa microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas AT mohamedsoleimanmohamedsoleiman microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas AT gasseralshayal microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas AT tawfikelkhol microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas AT ibrahimeldsoky microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas AT mohamedellabbad microscopicandendoscopictransoralapproachesforthemanagementofcraniocervicalchordomas
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Microscopic and Endoscopic Transoral Approaches for the Management of Craniocervical Chordomas

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