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. 2021 Feb;82(Suppl 1):S10-S11.
doi: 10.1055/s-0040-1714409. Epub 2020 Nov 23.

Endoscopic Transnasal Odontoidectomy

Affiliations

Endoscopic Transnasal Odontoidectomy

Cesare Zoia et al. J Neurol Surg B Skull Base. 2021 Feb.

Abstract

Background Odontoidectomy may represent the treatment of choice for symptomatic ventral craniovertebral junction stenosis in selected cases. An endoscopic transnasal approach has been proposed as an alternative to a classic transoral approach. Method We report a case of a patient with a craniovertebral junction stenosis due to the ossification of the posterior ligament. The clinical and radiological records of the patient and a step-by-step description of the surgical technique are presented ( Fig. 1 ). Conclusion Endoscopic transnasal odontoidectomy provides a direct access to the dens and adjacent structures of the anterior upper cervical spine with a less invasive burden on the oropharingeal structures. The link to the video can be found at: https://youtu.be/Ofrk1sFTV9I .

Keywords: craniovertebral junction; endoscopic cervical decompression; endoscopic transnasal surgery; odontoidectomy.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Pre- and postoperative sagittal CT.