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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2021; 82(S 01): S10-S11
DOI: 10.1055/s-0040-1714409
Skull Base: Operative Videos

Endoscopic Transnasal Odontoidectomy

Cesare Zoia 
1   Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
Daniele Bongetta
2   Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
3   Neurosurgery Unit, Ospedale Fatebenefratelli e Oftalmico, ASST Fatebenefratelli Sacco, Piazzale Principessa, Milano, Italy
,
Sabino Luzzi
1   Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
2   Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
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Abstract

Background Odontoidectomy may represent the treatment of choice for symptomatic ventral craniovertebral junction stenosis in selected cases. An endoscopic transnasal approach has been proposed as an alternative to a classic transoral approach.

Method We report a case of a patient with a craniovertebral junction stenosis due to the ossification of the posterior ligament. The clinical and radiological records of the patient and a step-by-step description of the surgical technique are presented ([Fig. 1]).

Conclusion Endoscopic transnasal odontoidectomy provides a direct access to the dens and adjacent structures of the anterior upper cervical spine with a less invasive burden on the oropharingeal structures.

The link to the video can be found at: https://youtu.be/Ofrk1sFTV9I.

Keywords

odontoidectomy - endoscopic transnasal surgery - endoscopic cervical decompression - craniovertebral junction


Publikationsverlauf

Eingereicht: 10. Januar 2019

Angenommen: 08. März 2020

Artikel online veröffentlicht:
23. November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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