Clival chordomas are ideally treated with maximal safe surgical removal followed by focused radiotherapy. Fortunately, the majority of clival chordomas can be removed via the nose using an endoscopic endonasal approach. Endoscopic endonasal surgery is the optimal initial treatment for most clival chordomas. Clival chordomas are locally invasive tumors of the midline skull base. Occasionally, these tumors require multiple keyhole operations including the retrosigmoid and eyebrow craniotomy approaches.

At the Pacific Neuroscience Institute, we have one of the world’s largest experiences with endonasal surgery for clival chordomas including patients who have had prior surgery and radiation. By incorporating cutting edge technology and instrumentation with proven surgical experience, our highly collaborative team provides safe, less invasive and effective chordoma surgery.

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