Volume 129, Issue 6 pp. 1395-1399
Head and Neck

Novel approach using transoral robotic surgery for resection of cervical spine chordoma

Adam C. McCann BS

Adam C. McCann BS

Department of Otolaryngology–Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas

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Connor Berger BS

Connor Berger BS

Weill Cornell Medical College, New York, New York

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Ahmad F. Mahmoud MD

Corresponding Author

Ahmad F. Mahmoud MD

Department of Otorhinolaryngology–Head and Neck Surgery

Send correspondence to Ahmad F. Mahmoud, MD, Resident Physician, Department of Otorhinolaryngology–Head & Neck Surgery, University of Pennsylvania School of Medicine, 3400 Spruce Street, 5 Silverstein Bldg, Philadelphia, PA 19104. E-mail: [email protected]Search for more papers by this author
Edward C. Kuan MD, MBA

Edward C. Kuan MD, MBA

Department of Otorhinolaryngology–Head and Neck Surgery

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Neil R. Malhotra MD

Neil R. Malhotra MD

Department of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, U.S.A.

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Bert W. O'Malley Jr. MD

Bert W. O'Malley Jr. MD

Department of Otorhinolaryngology–Head and Neck Surgery

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First published: 19 November 2018
Citations: 7

Dr. Bert O'Malley Jr receives royalties from the University of Pennsylvania through Olympus for his role in inventing the FKWO retractor, May 2016. The authors have no other funding, financial relationships, or conflicts of interest to disclose.

Abstract

Chordomas are rare, infiltrative neoplasms of notochordal origin that present along the spinal canal; en bloc surgical resection is paramount to successful treatment. Limited visualization and complex anatomy are major challenges to resection of upper cervical spine chordomas and often require invasive surgery. A 27-year-old male presented with an incidentally discovered chordoma of the midline second cervical vertebra of the spine. To obtain en bloc resection of the lesion while both overcoming limitations due to access and without introducing morbidity from traditional anterior approaches, we elected using transoral robotic surgery for resection. Due to complete resection, the patient remains disease-free and was spared adjuvant radiation. Laryngoscope, 129:1395–1399, 2019

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