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Medientyp: E-Artikel Titel: Three‐dimensional endoscopy in transnasal transsphenoidal approach to clival chordomas Beteiligte: Garzaro, Massimiliano; Zenga, Francesco; Raimondo, Luca; Pacca, Paolo; Pennacchietti, Valentina; Riva, Giuseppe; Ducati, Alessandro; Pecorari, Giancarlo Erschienen: Wiley, 2016 Erschienen in: Head & Neck, 38 (2016) S1 Sprache: Englisch DOI: 10.1002/hed.24324 ISSN: 1043-3074; 1097-0347 Entstehung: Anmerkungen: Beschreibung: AbstractBackgroundThe purpose of this prospective, observational study was to evaluate the management of skull base chordomas surgically resected via a 3D‐endoscopic transnasal approach.MethodsThirteen consecutive patients were observed and only 9 were surgically treated using a 3D‐endoscopic transnasal approach assisted by a novel 3D visualization system.ResultsNine consecutive male patients (mean age, 57.4 years) underwent exclusive 3D‐endoscopic transnasal transsphenoidal resection of clival chordomas; gross total resection was achieved in 66.6% of cases (6 of 9 patients), near‐total resection in 11.2% (1 of 9 patients), and partial resection in 22.2% (2 of 9 patients). The complications observed were 2 cases of postoperative cerebrospinal fluid (CSF) leaks and 1 case of temporary VI cranial nerve palsy.ConclusionNo discomfort was recorded; when a dura opening was required, 3D vision allowed an accurate intradural sharp dissection and a precise repair of the skull base. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1814–E1819, 2016