title: New interdisciplinary approach for removing large clivus and upper cervical spine tumors.
abstract: We have developed a new interdisciplinary approach for removing large clivus and upper cervical spine tumors. This approach is a combination of the Le Fort I osteotomy, midfacial degloving, and median labiomandibular glossotomy. Our approach gives an excellent, wide surgical field from the nasopharynx, including the base of the skull, to the base of the tongue and permits sufficiently safe extirpation of clivus and upper cervical spine tumors that may not be removed by transoral or transcervical approaches. Our approach not only incorporates the merits of each approach but also creates a larger surgical field that may be modified or expanded to accommodate the removal of more bulky tumors in this region. This novel approach will facilitate more successful resection of tumors arising between the nasopharynx, including the skull base, and the retropharyngeal area.
authors.affiliation: Department of Otolaryngology, Tokyo Medical and Dental University, Tokyo, Japan. okamura.oto@tmd.ac.jp
authors.forename: Hiro-oki
authors.initials: HO
authors.lastname: Okamura
authors.forename: Eriko
authors.initials: E
authors.lastname: Nishimura-Ogino
authors.forename: Kenichi
authors.initials: K
authors.lastname: Shinomiya
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Komori
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Haro
authors.forename: Seiji
authors.initials: S
authors.lastname: Kishimoto
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery*; D003388:Cranial Fossa, Posterior / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D010027:Osteotomy / Q000379:methods; D010348:Patient Care Team; D019292:Skull Base Neoplasms / Q000473:pathology* / Q000601:surgery*; D013125:Spinal Neoplasms / Q000473:pathology* / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods*; D014140:Tracheotomy