Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Neurosurgery. 2010 Mar;66(3 Suppl):96-103. doi: 10.1227/01.NEU.0000365855.12257.D1.
Chordomas are primarily malignant tumors encountered at either end of the neural axis; the craniovertebral junction and the sacrococcygeal junction. In this article, we discuss the surgical management of craniovertebral junction chordomas.
In this paper, we discuss the surgical management of craniovertebral junction chordomas.
The following approaches are illustrated: transoral-transpalatopharyngeal approach, high anterior cervical retropharyngeal approach, endoscopic transoral approach, and endoscopic transnasal approach. No single operative approach can be used for all craniovertebral chordomas. Therefore, the location of the tumor dictates which approach or approaches should be used.
脊索瘤主要是在神经轴的两端发现的恶性肿瘤；颅颈交界区和骶尾部。本文讨论了颅颈交界区脊索瘤的手术治疗。
本文讨论了颅颈交界区脊索瘤的手术治疗。
以下入路方法有：经口-经咽-经软腭入路、高位颈椎经咽后入路、内镜经口入路和内镜经鼻入路。没有单一的手术入路可以用于所有颅颈脊索瘤。因此，肿瘤的位置决定了应使用哪种或哪些入路。
