tailieunhanh - Báo cáo khoa hoc:" Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report | Journal of Medical Case Reports BioMed Central Open Access Case report Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma A case report Shahid Hassan1 Jafri M Abdullah2 Shah Jihan Wan Din 1 and Zamzuri Idris2 Address Department of ORL-HNS School of Medical Sciences Health Campus Universiti Sains Malaysia 16150 Kota Bharu Kelantan Malaysia and 2Department of Neuroscience School of Medical Sciences Health Campus Universiti Sains Malaysia 16150 Kota Bharu Kelantan Malaysia Email Shahid Hassan - shahid@ Jafri M Abdullah - neurosains@ Shah Jihan Wan Din - wsjihan@ Zamzuri Idris - zamzuri@ Corresponding author Published 18 February 2008 Received 14 August 2007 Journal of Medical Case Reports 2008 2 49 doi 1752-1947-2-49 Accepted 18 February 2008 This article is available from http content 2 1 49 2008 Hassan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Chordoma is a rare malignant tumour with an incidence of metastasis of less than 10 percent. Usually arising from clivus its posterior extension may involve the brainstem before presenting as nasal mass and obstruction. Surgery is the main mode of treatment with adjuvant radiotherapy. However surgery is rarely possible for a large intracranial lesion. Case presentation We report the case of an adolescent patient with a chordoma extending posteriorly to the brainstem and anteriorly to the nasopharynx and managed by the combination of resection using a maxillomandibular swing approach and the use of a neurosurgical ultrasonic aspirator. Conclusion Maxillomandibular swing approach provides good access