Clivus-Cervical Stabilization Through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Overview

Journal Brain Sci

Publisher MDPI

Date 2024 Mar 28

PMID 38539641

Authors

Gervith Reyes-Soto

Alfonso Corona De la Torre

Kaori Guadalupe Honda Partida

Renat Nurmukhametov

Manuel De Jesus Encarnacion Ramirez

Nicola Montemurro

Affiliations

Soon will be listed here.

Abstract

Craniocervical tumors lead to cervical pain, instability, and neurological symptoms, reducing the quality of life. Effective surgical intervention at the craniocervical junction (CCJ) is critical and complex, involving comprehensive approaches and advanced reconstructive techniques. This study, conducted at Mexico City's National Institute of Cancerology, focused on three surgical cases that occurred in 2023 involving tumors at the CCJ: two chordomas and one prostate adenocarcinoma. We utilized a specialized technique: clivus-cervical stabilization reinforced with a polymethylmethacrylate (PMMA)-filled cervical mesh. Postoperatively, patients showed marked neurological recovery and reduced cervical pain, with enhanced Karnofsky and Eastern Cooperative Oncology Group (ECOG) scores indicating improved life quality. The surgical technique provided excellent exposure and effective tumor resection, utilizing PMMA-filled cervical mesh for stability. Tumoral lesions at the CCJ causing instability can be surgically treated through a transoral approach. This type of approach should be performed with precise indications to avoid complications associated with the procedure.

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