2025 Proffered Presentations
V048: MINI INVASIVE ENDOSCOPIC ENDONASAL TRANSCLIVAL APPROACH FOR CLIVAL CHORDOMA WITH MUCOSA SUTURING
Thibault Passeri, MD; Trung Hai Vu, MD; Sébastien Froelich, MD; Department of Neurosurgery, Lariboisière Hospital, APHP
In this video, we presented the resection of a clival chordoma using a contralateral mini-invasive endoscopic endonasal approach, preserving the mucosa of a hemi sphenoidal sinus and using the chopsticks technique. For closure, we used the rostral mucosa suturing technique after cranialization of the sphenoidal sinus. This technique provides a valuable alternative approach to classic endoscopic approach using a pedicled flap for the skull base reconstruction, allowing a maximal preservation of nasal anatomy.