Transnasal and Transpalatal Approach to Clival Chordoma

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Lacy S. Brame, Aniruddha C. Parikh, Juan Carlos Nogues, Michelle Yu, Alfred Marc Iloreta
DOI: 10.1055/s-0046-1819458
Cited by: 0

Abstract

Here we show the case of a 37-year-old male who presented to the ED with complaints of neck pain, hoarseness, and dysphagia. Imaging demonstrated a large lytic skull base mass involving the clivus and petrous apex. Biopsy demonstrated a chordoma. Resection was performed via a transnasal and transpalatal approach. Residual tumor was noted which was removed during a second stage and reconstruction was achieved with an anterolateral thigh free flap. 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

Bone Tumor Diagnosis and Treatments Head and Neck Surgical Oncology 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