Chapters Transcript Video Patient Discharged Two Days After Chondrosarcoma Removal This is a case of a 38 year old male presented with double vision. Did you occur in our six policy on the left side induced by this large left side. Extra drill peter Clavell lesion consistent with a condo sarcoma. More involved with Clive. Wasn't leaked pictures. Epix. We decided to do an international approach to remove this malignant tumor. Started by harvesting a nasal septal flap. We then proceeded with a trans steroid approach on the left side to gain access to the lateral aspect of the nasal cavity. But drilling the territory plate falling, the median nerve austerely will get access to the Petraeus apex and the collaborative region. This is the signal goes towards midland and then the second the region of the middle class of feature and finally accessing the area of the regular typical that slowly drill away we continue drilling. Taking the video nervous reference to avoid injury to the karate artery which is the main obstacle to access in this tumor. The dissection is carried out now to expose the posterior fossa on the peters, apex, Indonesia lee until the door of the posterior for size found and the lesion is encounter. Delusion is grayish, fairly vascular classic for condo sarcoma. And then we started progressively divulging the lesion and finally getting on the outside of elation and dissecting the edges of the tumor from the normal tissue including the posterior fossa dura and the teachers apex bone. We as a combination of angle instruments and angle scopes to access this really narrow corridor that goes all the way to the left side behind the carotid artery. You can see us progressively removing the tumor Using angle instruments, the tumor is still soft and fair and easily detectable from the normal tissue, and this is the last portion of the tumor, and finally, we achieved, And year two lateral section we recreated the cavity and closed the lesion with nasal septal flap. This is the post of memory showing your complete resection of the lesion. The patient characteristics resolved. The patient was discharged the day after surgery with a completely normal neurological examination. Published Created by
