Extreme-Medial Approach with Eustachian Tube Mobilization for Recurrent Clival Chordoma

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Florencia Rodríguez Basili, Erik Burgos, Matei A. Banu, Collin Liu, Zara M. Patel, Vera Vigo, Yuanzhi Xu, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1818957
Cited by: 0

Abstract

We report a recurrent clival chordoma involving the lower clivus, hypoglossal canal, jugular tubercle, and occipital condyle. Using an extreme-medial endonasal transpterygoid approach with Eustachian tube mobilization, we achieved safe condylar drilling, full exposure of the hypoglossal nerve, and gross total resection. Reconstruction was performed with fat and mucosal grafts, followed by planned occipitocervical fusion. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Head and Neck Surgical Oncology Bone Tumor Diagnosis and Treatments Meningioma and schwannoma management

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN