The transoral approach to the craniocervical junction provides unique challenges for tumor resection due to varied anatomy, visualization, and reconstruction options. The technical considerations of the operation are strongly dependent on nasopharyngeal anatomy and personal comfort with visualization of the tumor. The combination of postoperative complications associated with the approach is unique and requires a team of medical professionals to plan, operate, and manage postoperatively. In this chapter, we discuss the special considerations for operative decision making, the technical aspects of the approach, and possible modern variances in surgery that may minimize postoperative complications.
Transoral approach Tumor resection Craniocervical junction Odontoid process Retro-odontoid space Nasopharyngeal anatomy Cervical spine Cervical vertebra Cervical axis Atlantoaxial complex Skull base Subaxial spine
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