2025 Proffered Presentations
V046: EXTENDED MIDDLE FOSSA APPROACH FOR A RECURRENT CLIVAL CHORDOMA
Yuhei Sangatsuda, MD; Vera Vigo, MD, PhD; Enrico Gambatesa, MD; Christine K Lee, MD, PhD; Yuanzhi Xu, MD; Alix Bex, MD; Juan Carlos Fernandez-Miranda; Stanford University
A 49-year-old man presented with a recurrent giant chordoma involving multiple skull base compartments with brainstem compression. Resection was performed via an extended middle fossa approach with orbitozygomatic craniotomy, leaving residual tumor in the parasellar and parabasilar regions. These were removed in a second-stage via endoscopic endonasal surgery achieving GTR. A temporoparietal nasal flap was performed for skull base reconstruction, secondary to CSF leak and meningitis. The patient recovered well from surgery without tumor recurrence.