Craniovertebral junction transanasal and transoral approaches: Reconstruct the surgical pathways with soft or hard tissue endocopic lines? This is the question

Massimiliano Visocchi, Vincenzo Lorenzo Pascali, Francesco Signorelli, Giuseppe La Rocca, Giuseppe Barbagallo, Gerardo Iacopino, Antonino Germano’

Risultato della ricerca: Contributo in rivistaArticolo in rivista

6 Citazioni (Scopus)

Abstract

A variety of pathological conditions may affect the clivus and the craniovertebral junction (CVJ). These include congenital disorders, chronic inflammation, neoplasms, infections, and posttraumatic conditions that could all result in CVJ compression and myelopathy Endoscopic-assisted procedures have been further developed for CVJ decompression and they have now become conventional approaches. The aims of the present study were: (1) to compare “radiological” and “surgical” nasoaxial lines (NAxLs); (2) to introduce an analogous radiological line as a predictor of the superior extension of the transoral approach (palatine inferior dental arch line (PIA); (3) to compare the “radiological” nasopalatine line (NPL) with the “surgical” NPL (SNPL) and surgical PIA (SPIA); (4) to compare “our” SNPL with the NAxL; and (5) to find possible radiological reference points to predict, preoperatively, the maximal extent of superior dissection for the transoral approach (SPIA).
Lingua originaleEnglish
pagine (da-a)117-121
Numero di pagine5
RivistaACTA NEUROCHIRURGICA. SUPPLEMENTUM
Volume124
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Craniovertebral junction
  • Endoscopy
  • Neurology (clinical)
  • Surgery
  • Transnasal approach
  • Transoral approach

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