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Review
. 2023 Aug;91(4):253-258.

Anesthesia Management For A Patient Having Transoral Approach For Anterior Cervical Osteophyte Resection

Minette T Silla  1 , Paul Bennetts  2 , Brittany Hollabaugh  3
Affiliations
  • PMID: 37527163
Review

Anesthesia Management For A Patient Having Transoral Approach For Anterior Cervical Osteophyte Resection

Minette T Silla et al. AANA J. 2023 Aug.

Abstract

Anterior cervical osteophytes (ACOs) are a common condition in the elderly, leading to dysphagia, odynophagia, aspiration, neck pain, dysphonia, and dyspnea. Transoral surgical resection is an approach to managing cervical (C1 and C2) ACOs where the endoscopic endonasal approach is contraindicated. Advantages of the transoral approach include it providing direct access to the cervical spine, limits injury to surrounding neurovascular structures, and eliminates scarring. Anesthesia considerations for transoral surgical resection of ACOs will be covered in the following case report. A review of the literature examines the prevalence of and anesthesia considerations for the transoral approach to anterior cervical osteophyte resection.

Keywords: anesthesia consideration; anterior cervical osteophyte; recurrent laryngeal nerve paralysis; transoral approach; vocal cord paralysis.

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Conflict of interest statement

Name: Minette T. Silla, DNAP, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Paul Bennetts, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Brittany Hollabaugh, DNP-A, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors did not discuss off-label use within the article.

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