Endoscopic transnasal removal of the pathologically affected areas of the C2 odontoid process
Objective. To assess capabilities and advantages of endoscopic transnasal removal of pathological foci in the region of the C2 odontoid process. Material and Methods. The study included 3 patients who underwent endoscopic transnasal removal of the invaginated odontoid process accompanied by sim...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2019-09-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1599/1590 |
| Summary: | Objective. To assess capabilities and advantages of endoscopic transnasal removal of pathological foci in the region of the C2 odontoid
process.
Material and Methods. The study included 3 patients who underwent endoscopic transnasal removal of the invaginated odontoid process
accompanied by simultaneously (2 cases) or previously performed (1 case) occipitospondylodesis.
Results. The pathological focus was totally removed in all cases. Postoperative complication occurred in one case – wound liquorrhea
with subsequent development of meningitis which required performing plastic surgery of the CSF fistula. At follow-up examination, all
patients presented with complete regression of symptoms.
Conclusion. Endoscopic transnasal access allows for radical removal of pathological foci of the craniovertebral junction. Endoscopic trans-
nasal approach will not be able to completely replace a transoral one, but it is a reasonable alternative in experienced hands. |
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| ISSN: | 1810-8997 2313-1497 |