[Minimally invasive surgery for invaginated CII odontoid process].

Q4 Medicine

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2023-01-01 DOI:10.17116/neiro2023870315

A N Shkarubo, I V Chernov, D N Andreev, N A Konovalov, M E Sinelnikov

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引用次数: 0

Abstract

Odontoidectomy is indicated for anterior compression of the brainstem by invaginated odontoid process. This procedure can currently be performed via transoral microsurgical and transnasal endoscopic access.

Objective: To analyze the results of endoscopic transnasal odontoidectomy.

Material and methods: We assessed treatment outcomes in 10 patients with anterior compression of the brainstem by invaginated odontoid process. All patients underwent endoscopic transnasal odontoidectomy.

Results: Brainstem decompression was achieved in all cases.

Conclusion: Currently, endoscopic transnasal approach is gradually replacing the transoral one in some patients requiring anterior odontoidectomy. Analysis of literature data reflects the development of this technique taking into account various features of surgical treatment including optimization of dimensions of surgical field, attempts to perform C1-sparing surgeries and analysis of sufficient size of trepanation. Nasopalatine and nasoclival lines are used to select optimal access. Nevertheless, the choice of access depends on equipment of the hospital and surgical experience in most cases.

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微创手术治疗CII齿状突内陷

齿状突切除术适用于因齿状突内陷导致脑干前压迫。目前可以通过经口显微外科手术和经鼻内窥镜进入进行该手术。目的:分析经鼻内镜下齿状突切除术的效果。材料和方法:我们评估了10例内陷齿状突脑干前压迫患者的治疗结果。所有患者均行经鼻内镜齿状突切除术。结果:所有病例均获得脑干减压。结论:目前，内镜下经鼻入路正在逐渐取代经口入路治疗一些需要行前齿状突切除术的患者。对文献资料的分析反映了该技术的发展考虑了手术治疗的各种特点，包括手术视野尺寸的优化，尝试进行c1保留手术和分析足够的钻孔尺寸。鼻帕拉汀线和鼻颈线用于选择最佳通路。然而，在大多数情况下，通道的选择取决于医院的设备和手术经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Medicine-Neurology (clinical)

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.