Endoscopic Endonasal Transclival and Bilateral Transcondylar Approaches for Clival Chordoma

A 60-year-old male with months of dysphonia and an episode of breathing difficulty was diagnosed with a clival chordoma with extension dorsolateral to both atlanto-occipital joints. A multipronged tumor resection approach was planned. He underwent an occiput-C4 fusion, followed by endoscopic endonasal transclival resection. A few weeks later, subsequent left and right transcondylar approaches were performed on consecutive days. Postoperatively, he recovered well and has received proton beam therapy.

No conflict of interest has been declared by the author(s).

Publication History

Article published online:
07 February 2025