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P369: TRANSNASAL AND TRANSPALATAL APPROACH TO CLIVAL CHORDOMA
Lacy S Brame, DO¹; Aniruddha C Parikh, MD²; Juan C Nogues, MD¹; Michelle Yu, MD³; Alfred Iloreta, MD¹; ¹Icahn School of Medicine at Mount Sinai; ²University of Nevada Las Vegas; ³Medical University of South Carolina

Here we show the case of a 37-year-old male who presented to the ED with complaints of neck pain, hoarseness, and dysphagia. Imaging demonstrated a large lytic skull base mass involving the clivus and petrous apex. Biopsy demonstrated a chordoma. Resection was performed via a transnasal and transpalatal approach. Residual tumor was noted which was removed during a second stage and reconstruction was achieved with an anterolateral thigh free flap.

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