Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 2. Topographic and anatomical aspects and surgical technique

Shkarubo A.N.; Koval’ K.V.; Dobrovolskiyi G.F.; Shkarubo M.A.; Polev G.A.; Andreev D.N.; Chernov I.V.; Karnaukhov V.V.; Gadjieva O.A.

doi:https://doi.org/10.17116/neiro201781517-30

Shkarubo A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Koval’ K.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Dobrovolskiyi G.F.

Burdenko Neurosurgery Institute, Moscow, Russia

Shkarubo M.A.

Burdenko Neurosurgical Institute, Moscow, Russia

Polev G.A.

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology, and Immunology, Moscow, Russia

Andreev D.N.

GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Minzdrava Rossii

Chernov I.V.

Sechenov First Moscow State Medical University, Moscow, Russia

Karnaukhov V.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Gadjieva O.A.

Federal State Autonomous Institution «N.N. Burdenko National Medical Research Center for Neurosurgery» of the Ministry of Healthcare of the Russian Federation, Moscow, Russia, 125047, Moscow, 4-th Tverskaya-Yamskaya str.,16, Russia

Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 2. Topographic and anatomical aspects and surgical technique

Authors:

Shkarubo A.N., Koval’ K.V., Dobrovolskiyi G.F., Shkarubo M.A., Polev G.A., Andreev D.N., Chernov I.V., Karnaukhov V.V., Gadjieva O.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2017;81(5): 17‑30

DOI: 10.17116/neiro201781517-30

Read: 6019 times

To cite this article:

Shkarubo AN, Koval’ KV, Dobrovolskiyi GF, et al. Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 2. Topographic and anatomical aspects and surgical technique. Burdenko's Journal of Neurosurgery. 2017;81(5):17‑30. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201781517-30

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

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Abstract:

Purpose — to present the main topographic and anatomical features of the clivus and adjacent structures for improving and optimizing the extended endoscopic transnasal posterior (transclival) approach in removal of clival and ventral posterior cranial fossa lesions. Material and methods. We performed a topographic and anatomical study of 25 cadaver heads, the vascular bed of which was filled with colored silicone using the original technique for visualizing the bed features and individual variability. Results. We present the main anatomical landmarks necessary for performing the extended endoscopic endonasal posterior approach. Superior, medial, and inferior transclival approaches provide access to the anterior surface of the upper, middle, and lower neurovascular complexes of the posterior cranial fossa. Conclusion. The endoscopic transclival approach can be used to reach ventral posterior cranial fossa lesions. The endoscopic transnasal transclival approach is an alternative to transcranial approaches to clival lesions.

Keywords:

endoscopic transclival approach

clivus

cranial nerves

posterior cranial fossa

skull base anatomy

Authors:

Shkarubo A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Koval’ K.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Dobrovolskiyi G.F.

Burdenko Neurosurgery Institute, Moscow, Russia

Shkarubo M.A.

Burdenko Neurosurgical Institute, Moscow, Russia

Polev G.A.

Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology, and Immunology, Moscow, Russia

Andreev D.N.

GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Minzdrava Rossii

Chernov I.V.

Sechenov First Moscow State Medical University, Moscow, Russia

Karnaukhov V.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Gadjieva O.A.

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