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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2021; 82(S 01): S10-S11
DOI: 10.1055/s-0040-1714409
Skull Base: Operative Videos

Endoscopic Transnasal Odontoidectomy

Cesare Zoia 
1   Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
,
Daniele Bongetta
2   Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
3   Neurosurgery Unit, Ospedale Fatebenefratelli e Oftalmico, ASST Fatebenefratelli Sacco, Piazzale Principessa, Milano, Italy
,
Sabino Luzzi
1   Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
2   Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
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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.


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Keywords

odontoidectomy - endoscopic transnasal surgery - endoscopic cervical decompression - craniovertebral junction
Zoom Image
Fig. 1 Pre- and postoperative sagittal CT.

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Quality:

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Conflict of Interest

None declared.

Address for correspondence

Cesare Zoia, MD, PhD
Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo
viale Golgi 19, 27100, Pavia
Italy   

Publication History

Received: 10 January 2019

Accepted: 08 March 2020

Article published online:
23 November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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