Endoscopic Resection of Skull Base Teratoma in Klippel-Feil Syndrome through Use of Combined Ultrasonic and Bipolar Diathermy Platforms

Figure 5

Surgical resection of skull base teratoma with ultrasonic bipolar diathermy. Endonasal view of the pedunculated skull base teratoma obstructing the posterior nasopharynx, with metal suction tip retracting the left inferior turbinate (a). Following sphenoidotomies, the tumor pedicle is approached (b), clamped in a full-thickness manner (c), and completely transected (d) using the vice-clamp tip and combined ultrasonic/bipolar platform energies. Teratoma passed into the oral cavity for transoral en bloc tumor removal (e), with lesion measuring approximately 4.0 cm in diameter (f).

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