Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma
Clival chordomas are locally invasive midline skull base tumors arising from remnants of the primitive notochord. Intracranial vasculature and cranial nerve involvement of tumors in the paraclival region necessitates image guidance that provides accurate real-time feedback during resection. Several...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1039159/full |
| _version_ | 1828001623233789952 |
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| author | Katherine E. Baker Austin C. Robbins Zeynep T. Kumm Michael K. Ziemke Chad W. Washington Gustavo D. Luzardo Charlotte S. Taylor Scott P. Stringer Marcus A. Zachariah |
| author_facet | Katherine E. Baker Austin C. Robbins Zeynep T. Kumm Michael K. Ziemke Chad W. Washington Gustavo D. Luzardo Charlotte S. Taylor Scott P. Stringer Marcus A. Zachariah |
| author_sort | Katherine E. Baker |
| collection | DOAJ |
| description | Clival chordomas are locally invasive midline skull base tumors arising from remnants of the primitive notochord. Intracranial vasculature and cranial nerve involvement of tumors in the paraclival region necessitates image guidance that provides accurate real-time feedback during resection. Several intraoperative image guidance modalities have been introduced as adjuncts to endoscopic endonasal surgery, including stereotactic neuronavigation, intraoperative ultrasound, intraoperative MRI, and intraoperative CT. Gross total resection of chordomas is associated with a lower recurrence rate; therefore, intraoperative imaging may improve long-term outcomes by enhancing the extent of resection. However, among these options, effectiveness and accessibility vary between institutions. We previously published the first use of an end-firing probe in the resection of a clival chordoma. End-firing probes provide a single field of view, primarily limited to depth estimation. In this case report, we discuss the benefits of employing a novel minimally invasive side-firing ultrasound probe as a cost-effective and time-efficient option to navigate the anatomy of the paraclival region and guide endoscopic endonasal resection of a large complex clival chordoma. |
| first_indexed | 2024-04-10T06:31:54Z |
| format | Article |
| id | doaj.art-6d0f340056d54dfabd6b6224d0422727 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-10T06:31:54Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-6d0f340056d54dfabd6b6224d04227272023-03-01T07:21:25ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.10391591039159Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordomaKatherine E. Baker0Austin C. Robbins1Zeynep T. Kumm2Michael K. Ziemke3Chad W. Washington4Gustavo D. Luzardo5Charlotte S. Taylor6Scott P. Stringer7Marcus A. Zachariah8Department of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Pathology, The Ohio State University, Columbus, OH, United StatesDepartment of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Radiology, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Otolaryngology, The University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Neurosurgery, The University of Mississippi Medical Center, Jackson, MS, United StatesClival chordomas are locally invasive midline skull base tumors arising from remnants of the primitive notochord. Intracranial vasculature and cranial nerve involvement of tumors in the paraclival region necessitates image guidance that provides accurate real-time feedback during resection. Several intraoperative image guidance modalities have been introduced as adjuncts to endoscopic endonasal surgery, including stereotactic neuronavigation, intraoperative ultrasound, intraoperative MRI, and intraoperative CT. Gross total resection of chordomas is associated with a lower recurrence rate; therefore, intraoperative imaging may improve long-term outcomes by enhancing the extent of resection. However, among these options, effectiveness and accessibility vary between institutions. We previously published the first use of an end-firing probe in the resection of a clival chordoma. End-firing probes provide a single field of view, primarily limited to depth estimation. In this case report, we discuss the benefits of employing a novel minimally invasive side-firing ultrasound probe as a cost-effective and time-efficient option to navigate the anatomy of the paraclival region and guide endoscopic endonasal resection of a large complex clival chordoma.https://www.frontiersin.org/articles/10.3389/fonc.2023.1039159/fullchordomaskull baseultrasoundendoscopicimagingclivus |
| spellingShingle | Katherine E. Baker Austin C. Robbins Zeynep T. Kumm Michael K. Ziemke Chad W. Washington Gustavo D. Luzardo Charlotte S. Taylor Scott P. Stringer Marcus A. Zachariah Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma Frontiers in Oncology chordoma skull base ultrasound endoscopic imaging clivus |
| title | Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| title_full | Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| title_fullStr | Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| title_full_unstemmed | Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| title_short | Case report: Side-firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| title_sort | case report side firing intraoperative ultrasound guided endoscopic endonasal resection of a clival chordoma |
| topic | chordoma skull base ultrasound endoscopic imaging clivus |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1039159/full |
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