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The Endoscopic Endonasal Approach for Treatment of Craniovertebral Junction Pathologies: A Minimally Invasive but not Minimal-Risk Approach

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New Trends in Craniovertebral Junction Surgery

Abstract

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References

  1. Menezes AH, Van Gilder JC. Transoral–transpharyngeal approach to the anterior craniocervical junction. Ten-year experience with 72 patients. J Neurosurg. 1988;69:895–903. https://doi.org/10.3171/jns.1988.69.6.0895.

    Article  CAS  PubMed  Google Scholar 

  2. Crockard HA. Transoral surgery: some lessons learned. Br J Neurosurg. 1995;9:283–93.

    Article  CAS  Google Scholar 

  3. Visocchi M. Advances in videoassisted anterior surgical approach to the craniovertebral junction. Adv Tech Stand Neurosurg. 2011;37:97–110. https://doi.org/10.1007/978-3-7091-0673-0_4.

    Article  Google Scholar 

  4. Liu JK, Patel J, Goldstein IM, Eloy JA. Endoscopic endonasal transclival transodontoid approach for ventral decompression of the craniovertebral junction: operative technique and nuances. Neurosurg Focus. 2015;38:E17. https://doi.org/10.3171/2015.1.FOCUS14813.

    Article  PubMed  Google Scholar 

  5. Kassam AB, Snyderman C, Gardner P, Carrau R, Spiro R. The expanded endonasal approach: a fully endoscopic transnasal approach and resection of the odontoid process: technical case report. Neurosurgery. 2005;57:E213.

    PubMed  Google Scholar 

  6. Yu Y, Wang X, Zhang X, Hu F, Gu Y, Xie T, Jiang X, Jiang C. Endoscopic transnasal odontoidectomy to treat basilar invagination with congenital osseous malformations. Eur Spine J. 2013;22(5):1127–36. https://doi.org/10.1007/s00586-012-2605-4.

    Article  PubMed  Google Scholar 

  7. Yen YS, Chang PY, Huang WC, Wu JC, Liang ML, Tu TH, Cheng H. Endoscopic transnasal odontoidectomy without resection of nasal turbinates: clinical outcomes of 13 patients. J Neurosurg Spine. 2014;21:929–37. https://doi.org/10.3171/2014.8.SPINE13504.

    Article  PubMed  Google Scholar 

  8. Wu JC, Huang WC, Cheng H, Liang ML, Ho CY, Wong TT, Shih YH, Yen YS. Endoscopic transnasal transclival odontoidectomy: a new approach to decompression: technical case report. Neurosurgery. 2008;63:ONSE92–4. https://doi.org/10.1227/01.neu.0000335020.06488.c8.

    Article  PubMed  Google Scholar 

  9. Ponce-Gomez JA, Ortega-Porcayo LA, Soriano-Baron HE, Sotomayor-Gonzalez A, Arriada-Mendicoa N, Gomez-Amador JL, Palma-Diaz M, Barges-Coll J. Evolution from microscopic transoral to endoscopic endonasal odontoidectomy. Neurosurg Focus. 2014;37:E15. https://doi.org/10.3171/2014.7.FOCUS14301.

    Article  PubMed  Google Scholar 

  10. Nayak JV, Gardner PA, Vescan AD, Carrau RL, Kassam AB, Snyderman CH. Experience with the expanded endonasal approach for resection of the odontoid process in rheumatoid disease. Am J Rhinol. 2007;21:601–6. https://doi.org/10.2500/ajr.2007.21.3089.

    Article  PubMed  Google Scholar 

  11. Mazzatenta D, Zoli M, Mascari C, Pasquini E, Frank G. Endoscopic endonasal odontoidectomy: clinical series. Spine. 2014;39:846–53. https://doi.org/10.1097/BRS.0000000000000271.

    Article  PubMed  Google Scholar 

  12. Lee A, Sommer D, Reddy K, Murty N, Gunnarsson T. Endoscopic transnasal approach to the craniocervical junction. Skull Base. 2010;20:199–205. https://doi.org/10.1055/s-0029-1246220.

    Article  PubMed  PubMed Central  Google Scholar 

  13. La Corte E, Aldana PR, Ferroli P, Greenfield JP, Hartl R, Anand VK, Schwartz TH. The rhinopalatine line as a reliable predictor of the inferior extent of endonasal odontoidectomies. Neurosurg Focus. 2015;38:E16. https://doi.org/10.3171/2015.1.FOCUS14777.

    Article  PubMed  Google Scholar 

  14. Goldschlager T, Hartl R, Greenfield JP, Anand VK, Schwartz TH. The endoscopic endonasal approach to the odontoid and its impact on early extubation and feeding. J Neurosurg. 2015;122:511–8. https://doi.org/10.3171/2014.9.JNS1473.

    Article  PubMed  Google Scholar 

  15. Gladi M, Iacoangeli M, Specchia N, Re M, Dobran M, Alvaro L, Moriconi E, Scerrati M. Endoscopic transnasal odontoid resection to decompress the bulbo-medullary junction: a reliable anterior minimally invasive technique without posterior fusion. Eur Spine J. 2012;21((Suppl 1)):S55–60. https://doi.org/10.1007/s00586-012-2220-4.

    Article  PubMed  Google Scholar 

  16. Gempt J, Lehmberg J, Grams AE, Berends L, Meyer B, Stoffel M. Endoscopic transnasal resection of the odontoid: case series and clinical course. Eur Spine J. 2011;20:661–6. https://doi.org/10.1007/s00586-010-1629-x.

    Article  PubMed  Google Scholar 

  17. Duntze J, Eap C, Kleiber JC, Theret E, Dufour H, Fuentes S, Litre CF. Advantages and limitations of endoscopic endonasal odontoidectomy. A series of nine cases. Orthop Traumatol Surg Res. 2014;100:775–8. https://doi.org/10.1016/j.otsr.2014.07.017.

    Article  CAS  PubMed  Google Scholar 

  18. Choudhri O, Mindea SA, Feroze A, Soudry E, Chang SD, Nayak JV. Experience with intraoperative navigation and imaging during endoscopic transnasal spinal approaches to the foramen magnum and odontoid. Neurosurg Focus. 2014;36:E4. https://doi.org/10.3171/2014.1.FOCUS13533.

    Article  PubMed  Google Scholar 

  19. Frankel HL, Hancock DO, Hyslop G, Melzak J, Michaelis LS, Ungar GH, Vernon JD, Walsh JJ. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Paraplegia. 1969;7(3):179–92.

    CAS  PubMed  Google Scholar 

  20. Di Lorenzo N. Craniocervical junction malformation treated by transoral approach. A survey of 25 cases with emphasis on postoperative instability and outcome. Acta Neurochir. 1992;118(11):112–6.

    Article  Google Scholar 

  21. Shriver MF, Kshettry VR, Sindwani R, Woodard T, Benzel EC, Recinos PE. Transoral and transnasal odontoidectomy complications: a systematic review and meta-analysis. Clin Neurol Neurosurg. 2016;148:121–9.

    Article  Google Scholar 

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Visocchi, M. et al. (2019). The Endoscopic Endonasal Approach for Treatment of Craniovertebral Junction Pathologies: A Minimally Invasive but not Minimal-Risk Approach. In: Visocchi, M. (eds) New Trends in Craniovertebral Junction Surgery. Acta Neurochirurgica Supplement, vol 125. Springer, Cham. https://doi.org/10.1007/978-3-319-62515-7_31

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  • DOI: https://doi.org/10.1007/978-3-319-62515-7_31

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