Review of transoral odontoidectomy. Where do we stand? Technical note and a single-center experience

Chatain, Grégoire P.; Chee, Keanu; Finn, Michael A.

doi:10.1016/j.inat.2022.101549

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Surgical indications included rheumatoid cervical pannus (10%), degenerative conditions (30%), pseudogout (10%), basilar invagination (30%), and malignancy (20%). In this patient group, a neurological improvement of 60% was reported, while 20% of patients remained stable during clinical follow-up, supporting its use despite being a less commonly performed procedure 16 .…”

Section: Discussionsupporting

confidence: 55%

Combined transmandibular approach for the resection of a cervical giant cell bone tumor: case report

Benavides-Giles,

Trejo-Olguín,

Cortés-González

et al. 2024

RMU

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Section: Discussionsupporting

confidence: 55%

Combined transmandibular approach for the resection of a cervical giant cell bone tumor: case report

Benavides-Giles,

Trejo-Olguín,

Cortés-González

et al. 2024

RMU

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“…Some cases required odontoidectomy after the posterior procedure, and the gold standard of ventral decompression at the CVJ, open transoral approach, was considered. Many authors have reported the disadvantages of the transoral approach [3], which include a limited operative view and a deep working distance. In addition, the transoral approach is associated with several risks, such as contamination by normal oral flora, dehiscence of the surgical wound, alteration in phonation, tongue edema, the potential need for prolonged intubation or tracheostomy, the requirement of avoiding oral intake, and postoperative enteral tube feeding.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Approach for A Difficult Cervical Area: Fully Endoscopic Uniportal Transcervical Approach for Ventral Pathologies of the Craniovertebral Junction

Ohara

Uchikado

Hara

et al. 2023

J Minim Invasive Spine Surg Tech

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Objective: Various pathologies can occur at the craniovertebral junction (CVJ). Posterior decompression with occipitocervical fixation can improve many of these conditions, but anterior decompression is required in some cases. Anterior decompression of a CVJ lesion is very difficult to perform. The transoral approach has been considered the gold standard, but it has the disadvantage of a deep and limited operative field, and many complications are associated with this procedure. Three endoscopic approaches (transoral, transnasal, and transcervical) have been reported previously. Transcervical endoscopic odontoidectomy is a familiar approach for spinal surgeons and can be performed using a uniportal full-endoscopic spinal surgery system. Methods: As described in the present study, 12 patients underwent surgery, and their clinical records were reviewed retrospectively. Results: All patients had good recovery without complications.Conclusion: Fully endoscopic uniportal transcervical odontoidectomy has many advantages for ventral pathologies of the CVJ. In particular, it can avoid heat injury despite drilling very close to the brainstem in deep closed lesions.

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Review of transoral odontoidectomy. Where do we stand? Technical note and a single-center experience

Cited by 2 publications

References 22 publications

Combined transmandibular approach for the resection of a cervical giant cell bone tumor: case report

Combined transmandibular approach for the resection of a cervical giant cell bone tumor: case report

Endoscopic Approach for A Difficult Cervical Area: Fully Endoscopic Uniportal Transcervical Approach for Ventral Pathologies of the Craniovertebral Junction

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