Case Report – Resection of Rare Clival Giant Cell Tumor by Le Fort I Osteotomy Approach

Abstract

Introduction: Giant cell tumor (GCT) is a rare bone tumor, which comprises 5% of all skeletal tumors. GCTs involving the skull tend to arise in the sphenoid or petrous part of the temporal bone and account for less than 1% of all bone GCTs. The typical patient profile for GCT includes young Asian females in the second to third decades of life, Because GCTs in the skull are extremely rare, there is little established about the appropriate management and therapy. Reported cases of clival GCTs use a transsphenoidal or transmaxillary surgical approach. We describe a rare case of a GCT originating in the clivus in a middle aged white male with a Le Fort I osteotomy and median maxillotomy surgical approach.