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Skull base surgery. 1993 April; 3(2): 87–90.
PMCID: PMC1656421

Excision of a Clival and Upper Cervical Pheochromocytoma by an Extended Maxillotomy Approach

A Case Report


By use of an extended maxillotomy approach, greater surgical access is provided to the midline skull base in comparison with lateral approaches. We describe this technique used to debulk a tumor extending from the sphenoid sinus across the craniocervical junction to the second cervical vertebrae.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Drommer RB. The history of the "Le Fort I osteotomy". J Maxillofac Surg. 1986 Jun;14(3):119–122. [PubMed]
  • Stevenson GC, Stoney RJ, Perkins RK, Adams JE. A transcervical transclival approach to the ventral surface of the brain stem for removal of a clivus chordoma. J Neurosurg. 1966 Feb;24(2):544–551. [PubMed]
  • Bailey P, Bagdasar D. Intracranial Chordoblastoma. Am J Pathol. 1929 Sep;5(5):439–450.5. [PubMed]
  • Derome P, Caron JP, Hurth M. Indications de la voie trans-bucco-pharyngée et malformations de la charnière cranio-vertébrale. Neurochirurgie. 1977 Oct 20;23(4):282–285. [PubMed]
  • Crockard HA. The transoral approach to the base of the brain and upper cervical cord. Ann R Coll Surg Engl. 1985 Sep;67(5):321–325. [PMC free article] [PubMed]
  • Crockard HA, Bradford R. Transoral transclival removal of a schwannoma anterior to the craniocervical junction. Case report. J Neurosurg. 1985 Feb;62(2):293–295. [PubMed]
  • Archer DJ, Young S, Uttley D. Basilar aneurysms: a new transclival approach via maxillotomy. J Neurosurg. 1987 Jul;67(1):54–58. [PubMed]
  • James D, Crockard HA. Surgical access to the base of skull and upper cervical spine by extended maxillotomy. Neurosurgery. 1991 Sep;29(3):411–416. [PubMed]

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