Endoscopic Resection of Clival Malignancies

Abstract

Surgical management of clival lesions presents numerous therapeutic challenges because of the close proximity of surrounding critical structures. With a detailed understanding of the endoscopic endonasal approach and relevant considerations, appropriate lesions can be removed in a safe and minimally invasive manner. Use of this technique as a primary approach represents the standard of care for many lesions at leading skull base centers, although adjunct techniques may be necessary in extensive lesions and those with significant lateral extension.

Keywords: Chondrosarcoma; Chordoma; Clival chordoma; Clival lesion; Clival tumor; Clivus; Endoscopic endonasal approach; Skull base surgery.