Struck by one of the rare as possible cancer diagnoses, a young woman has recovered from surgery and never efficient radiotherapy to go out without illness.
Diagnosed with two bone tumors, the hospital only found the second because someone made an MRI in a lower place on their spine than what they were supposed to do.
The story begins when Karla Flores, 19, began to live a double vision. The diagnosis was a chordoma, a bone tumor that afflicts the spine diagnosed only 300 times a year in a country of 330 million people.
Referred to the doctor of the Department of Neurosurgery of the Medical Center of the University of Maryland, Flores was informed by the doctor to lead the effort to eliminate the chordoma that the malignant tumor put pressure on the cranial nerve, which caused double vision.
During the planning of surgery, Dr. Mohammed Labib ordered an MRI to make sure that he had the best view of his career, only to discover that Flores had a second chordomed rolled around his vertebrae from the front of his spinal cord. To determine the chances of such a thing that happens, imagination is perhaps the only source.
For the first chordoma, Labib developed a complex surgical plan to eliminate the tumor with two surgeries that would not damage the delicate nerves, but as regards the second, the surgery team scratches their heads.
“I spoke to colleagues, and one of them said” you will not cure it ” told CBS News. “I was not very enthusiastic about it.”
The following story of surgery contains descriptions of human anatomy that some readers can find horrible, but there is a happy ending.
The possible plan of Dr. Labib was nicknamed the approach of the “third nostril”, and it would involve accessing the tumor, which was seated just at the top of the spine under the skull, both with the right nostril and the periphery on the coast of the left eye after the withdrawal of a piece of the cheekbone and the membrane of the eyes.
Weeks have passed to study and practice on skull models while the surgical tools of Dr Labib have been modified for the approach.
It started when the facial reconstructive surgeon, Dr. Kalpest Vakharia, crossed the cheekbone, allowing Dr Labib to reach the tumor site, that the head and neck surgeon, Dr. Andrea Hebert, approached drilling through the vertebrae.
Breathtaking surgical success:
Including the replacement of facial components, which used the bone of the flora hip and left no external scar, surgery took 20 hours. Once finished, the tumor had been completely withdrawn.
A spine surgeon stabilized the affected vertebrae, radiotherapy confirmed that Flores was without cancer a year later, and the therapists help him recover the movement in his eyes.
“I don’t stop remembering to take one day both and know that each step is an accomplishment. I am also happy to have held the field and that I continued to look for help until I find it,” said Flores in a statement sent by email.
Dr. Labib believes that the third approach to Narine could become a standard procedure to reach tumors in the general area as flora.
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