June 8, 2025
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Karla Flores Journey Pioneering Surgery for Rare Spinal Tumors

Karla Flores, at just 18 years old, faced a medical mystery that would change her life forever. It started with double vision, a seemingly innocuous symptom that led her on a path to an unexpected and groundbreaking surgery. Little did she know that this journey would involve not one but two rare tumors—one nestled in her brain stem and the other entwined around her spinal cord.

A chordoma diagnosis is rare, with only about 300 cases reported annually in the United States. Dr. Mohammed Labib, a skilled neurosurgeon at the University of Maryland Medical Center, took on the challenge of treating Karla’s complex condition. The pressure exerted by the tumors on vital cranial nerves posed significant risks to Karla’s health and well-being.

Amidst the intricate web of surgeries and procedures that followed, there emerged a pivotal moment—a discovery that could have altered Karla’s life in an instant. Through meticulous planning and unwavering determination, Dr. Labib navigated through uncharted territory within Karla’s anatomy.

“They told me if they hadn’t seen it, I could have been paralyzed,”

shared Karla when recalling the shocking revelation of the second tumor lurking near her spinal cord.

The conventional methods were insufficient for tackling such a delicate situation. As doubts loomed over the feasibility of successful treatment, Dr. Labib embarked on crafting a unique surgical plan—one that would redefine medical possibilities.

“I spoke to colleagues… maybe she should be more of a palliative care patient,”

Dr. Labib recounted one colleague’s skepticism before embarking on this challenging surgical endeavor aimed at saving Karla’s life.

Innovative thinking paved the way for what would later be termed as the “third nostril

” approach—an unconventional yet meticulously planned method to access and remove the elusive tumor near Karla’s spine. Weeks of preparation and practice culminated in a groundbreaking surgery that pushed boundaries in medical innovation.

In describing his novel technique involving accessing the tumor through Karla’s eye socket, Dr. Labib reflected on the emotional intensity surrounding this high-stakes operation: “

Her mother cried… Her father… was concerned.

” The gravity of the situation underscored by these reactions mirrored both hope and trepidation intertwined in their shared journey towards recovery.

The intricate procedure unfolded over grueling hours within an operating room where every incision marked another step towards victory over adversity. With each painstaking movement guided by precision and expertise, Karla’s fate hung delicately in balance between uncertainty and newfound hope.

Through unwavering resolve and unparalleled teamwork among skilled surgeons like Dr. Kalpesh T. Vakharia and Dr. Andrea Hebert, every element of risk was meticulously mitigated to ensure Karla’s safety throughout this extraordinary journey toward healing.

The process took about 20 hours,

” recounted Dr. Labib when reflecting upon this monumental feat achieved through collective effort and unwavering dedication—a testament to human resilience against insurmountable odds.

As days turned into weeks post-surgery, an arduous road lay ahead for Karla—rehabilitative therapy followed by radiation treatment—all aimed at eradicating any remnants of cancer from her body while restoring mobility impaired by nerve damage endured during treatment.

Today, nearly a year after conquering this Herculean battle against formidable odds encapsulated within her fragile frame lies not just survival but resilience personified—an indomitable spirit determined to embrace each day as a triumph over adversity.

Her aspirations reflect both courage and vulnerability as she navigates through mounting medical bills while holding onto dreams of pursuing education despite financial challenges looming large overhead like ominous clouds threatening to dim her newfound ray of hope amidst darkness.

Expert Insights:
Dr. Mohammed Labib envisions broader applications for this revolutionary surgical approach: “

I think this third nostril approach is going to really take on these difficult tumors… [and] opens up new possibilities for approaching similar challenges.”

Karla Flores’ remarkable journey stands as a testament to human ingenuity transcending beyond known boundaries into uncharted territories—an odyssey marked by setbacks turned into stepping stones paving the way for future generations facing similar adversities with unwavering courage.

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