• Neurosurgery · Mar 2010

    Review

    Ventral surgical approaches to craniovertebral junction chordomas.

    • Harminder Singh, James Harrop, Paul Schiffmacher, Marc Rosen, and James Evans.
    • Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. Harmansingh.MD@gmail.com
    • Neurosurgery. 2010 Mar 1; 66 (3 Suppl): 96-103.

    BackgroundChordomas are primarily malignant tumors encountered at either end of the neural axis; the craniovertebral junction and the sacrococcygeal junction. In this article, we discuss the surgical management of craniovertebral junction chordomas.ObjectiveIn this paper, we discuss the surgical management of craniovertebral junction chordomas.ResultsThe following approaches are illustrated: transoral-transpalatopharyngeal approach, high anterior cervical retropharyngeal approach, endoscopic transoral approach, and endoscopic transnasal approach. No single operative approach can be used for all craniovertebral chordomas. Therefore, the location of the tumor dictates which approach or approaches should be used.

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