Abstract
The refinements of the transoral approach to the CVJ by the senior author (A.H.M.) in the late 1970s revolutionized the treatment of CVJ pathology. At the same time, a physiological approach to CVJ management was adopted at the University of Iowa Hospitals and Clinics in 1977 based on the stability and motion dynamics of the CVJ and the site of encroachment, incorporating the transoral approach for irreducible ventral CVJ pathology. Here we describe our approach for the treatment of irreducible basilar invagination and anterior compression.
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References
Menezes AH. Surgical approaches: postoperative care and complications “transoral-transpalatopharyngeal approach to the craniocervical junction”. Childs Nerv Syst. 2008;24(10):1187–93.
Menezes AH, VanGilder JC. Transoral-transpharyngeal approach to the anterior craniocervical junction. Ten-year experience with 72 patients. J Neurosurg. 1988;69(6):895–903.
Dlouhy BJ, Dahdaleh NS, Menezes AH. Evolution of transoral approaches, endoscopic endonasal approaches, and reduction strategies for treatment of craniovertebral junction pathology: a treatment algorithm update. Neurosurg Focus. 2015;38(4):E8.
Brookes JT, Smith RJ, Menezes AH, Smith MC. Median labiomandibular glossotomy approach to the craniocervical region. Childs Nerv Syst. 2008;24(10):1195–201.
Choi D, Crockard HA. Evolution of transoral surgery: three decades of change in patients, pathologies, and indications. Neurosurgery. 2013;73(2):296–303. discussion 303–294
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Dlouhy, B.J., Menezes, A.H. (2019). Transoral Odontoidectomy for Decompression of Basilar Invagination. In: Koller, H., Robinson, Y. (eds) Cervical Spine Surgery: Standard and Advanced Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-93432-7_25
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DOI: https://doi.org/10.1007/978-3-319-93432-7_25
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