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Acta Neurochirurgica

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01-04-2018 | How I Do it - Neurosurgical Techniques

How I do it: endoscopic endonasal approach to the inferior third of the clivus

Authors: Eugenio Cárdenas Ruiz-Valdepeñas, Ariel Kaen, Gustavo Pérez Prat, Jesus Ambrosiani Fernandez

Published in: Acta Neurochirurgica | Issue 4/2018

Abstract

Background

Nowadays, endoscopic endonasal expanded approach targeting for the clival lower third is well described in literature. Nonetheless, great variations can be found among surgical groups, specially during the earlier stages of this procedure.

Method

We present a step by step description of the clival lower third approach until entering the dural space, setting its bony limits. We describe the basipharyngeal flap tailoring as a helpful option for latter reconstruction. The study of cadaveric specimens adds clarifying dissections.

Conclusions

The expansion in the coronal plane is providential in most of the intradural lesions of the inferior clivus. Basipharyngeal flap may help seal the surgical defects in this area.

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Title: How I do it: endoscopic endonasal approach to the inferior third of the clivus
Authors: Eugenio Cárdenas Ruiz-Valdepeñas
Ariel Kaen
Gustavo Pérez Prat
Jesus Ambrosiani Fernandez
Publication date: 01-04-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 4/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-018-3483-2

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Springer Medicine

How I do it: endoscopic endonasal approach to the inferior third of the clivus

Abstract

Background

Method

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusions

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