Abstract
Methods: During the 1985–2015 period, 432 patients with skull base chordomas were operated. In 1985–2006, 207 patients were operated, 126 (61%) by transcranial approaches and 81 (39%) by extracranial approaches (transnasal and transoral). During the 2007–2015 period, 225 patients with skull base chordomas were operated, 58 (25.8%) by a variety of transcranial approaches, and 167 (74.2%) by extracranial. Twenty-eight patients underwent simultaneous combined operation: occipito spondylodesis and transoral removal of the tumor.
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