2025 Proffered Presentations
V059: ENDOSCOPIC ENDONASAL TRANSCLIVAL APPROACH FOR PONTINE TUMOR RESECTION
M. Salman Ali; Kenneth Byrd, MD; Fernando Vale, MD; Medical College of Georgia at Augusta University
Standard techniques used for elevating naso-septal flap and sphenoidotomy. Parasellar and paraclival carotid exposure. Clivus is drilled and dura opened. Arachnoid dissection performed. Neuro-stimulation used to identify safe entry point into pons as well as visualizing abnormal discoloration of pons surface. Small opening is gradually expanded preserving surround vasculature. Internal tumor debulking and circumferential dissection and tumor removal. Hemostasis and multilayer closure.