TY - JOUR
T1 - Craniovertebral junction transanasal and transoral approaches: Reconstruct the surgical pathways with soft or hard tissue endocopic lines? This is the question
AU - Visocchi, Massimiliano
AU - Pascali, Vincenzo Lorenzo
AU - Signorelli, Francesco
AU - La Rocca, Giuseppe
AU - Barbagallo, Giuseppe
AU - Iacopino, Gerardo
AU - Germano’, Antonino
PY - 2017
Y1 - 2017
N2 - 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).
AB - 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).
KW - Craniovertebral junction
KW - Endoscopy
KW - Neurology (clinical)
KW - Surgery
KW - Transnasal approach
KW - Transoral approach
KW - Craniovertebral junction
KW - Endoscopy
KW - Neurology (clinical)
KW - Surgery
KW - Transnasal approach
KW - Transoral approach
UR - http://hdl.handle.net/10807/93767
UR - http://www.springerlink.com/content/p7rw02/
U2 - 10.1007/978-3-319-39546-3_18
DO - 10.1007/978-3-319-39546-3_18
M3 - Article
VL - 124
SP - 117
EP - 121
JO - Acta Neurochirurgica, Supplement
JF - Acta Neurochirurgica, Supplement
SN - 0065-1419
ER -