The Endonasal Endoscopic Approach to Pathologies of the Anterior Craniocervical Junction: Analytical Review of Cases Treated at Four European Neurosurgical Centres

  • Salvatore Chibbaro
  • Mario Ganau
  • Helene Cebula
  • Beniamino Nannavecchia
  • Julien Todeschi
  • Antonio Romano
  • Christian Debry
  • Francois Proust
  • Alessandro Olivi
  • Stephane Gaillard
  • Massimiliano Visocchi
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 125)


Supported by preliminary anatomical and clinical studies exploring the feasibility and usefulness of approaching many ventral pathologies of the craniocervical junction (CCJ) using the endoscopic endonasal approach, four European centres have joined forces to accumulate and share their growing surgical experience of this advanced technique. By describing the steps that led to the development and continuous refinement of this approach to the CCJ, this article delves deeply into an analysis of the cases operated on since 2010 at these four institutions, and discusses in detail the operative nuances that so far have allowed achievement of successful outcomes with excellent perioperative patient comfort and satisfactory long-term quality of life.


Endoscopy Endonasal Transoral Odontoidectomy Basilar impression/invagination Odontoid pannus 


Competing Interests

The authors declare that they have no competing interests.

Compliance with Ethical Standards

No financial support was received for this work.

All procedures performed in the study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Salvatore Chibbaro
    • 1
  • Mario Ganau
    • 1
  • Helene Cebula
    • 1
  • Beniamino Nannavecchia
    • 1
  • Julien Todeschi
    • 1
  • Antonio Romano
    • 2
  • Christian Debry
    • 3
  • Francois Proust
    • 1
  • Alessandro Olivi
    • 4
  • Stephane Gaillard
    • 5
  • Massimiliano Visocchi
    • 4
  1. 1.Department of NeurosurgeryStrasbourg University HospitalStrasbourgFrance
  2. 2.Department of NeurosurgeryParma University HospitalParmaItaly
  3. 3.ENTStrasbourg University HospitalStrasbourgFrance
  4. 4.Institute of NeurosurgeryCatholic University of RomeRomeItaly
  5. 5.Department of NeurosurgeryFoch HospitalParisFrance

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