7 The Microsurgical Transoral Approach
Book
Editors: Borba, Luis A. B.; de Oliveira, Jean G.
Title: Microsurgical and Endoscopic Approaches to the Skull Base
Subtitle: Anatomy, Tactics, and Techniques
Print ISBN: 9781626239661; Online ISBN: 9781684203772; Book DOI: 10.1055/b000000340
1. Edition © 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York
Subjects: Neurosurgery;Otorhinolaryngology, Phoniatrics, Audiology
Thieme Clinical Collections (English Language)
Abstract
The transoral approach is a safe and effective surgical procedure for pathologies of the craniovertebral junction (CVJ). It provides direct access from the inferior third of the clivus to the C3 body and allows excellent decompression of the ventral brainstem and upper cervical spinal cord. Understanding the complex anatomy and biomechanics of this region is critical for surgical planning. The choice for this approach depends on patient and pathology details, as with all surgical techniques. The main indications are irreducible ventral compression, with the most common being basilar invagination. There are several peculiarities in the preoperative evaluation, like assessment of oral and dental hygiene, and nutritional. Postoperative care requires evaluation of instability of the CVJ. In recent years, endoscopic endonasal approach has emerged as a valuable option for pathologies of the CVJ.
Key words
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