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RESEARCH PRODUCT
Craniovertebral Junction Transanasal and Transoral Approaches: Reconstruct the Surgical Pathways with Soft or Hard Tissue Endocopic Lines? This Is the Question.
Francesco SignorelliVincenzo Lorenzo PascaliAntonino GermanòMassimiliano VisocchiGerardo IacopinoGiuseppe La RoccaGiuseppe BarbagalloPierpaolo Mattognosubject
AdultMaleNatural Orifice Endoscopic Surgerymedicine.medical_specialtyDecompressionCraniovertebral junction; Endoscopy; Transnasal approach; Transoral approach; Surgery; Neurology (clinical)Hard tissue03 medical and health sciencesMyelopathy0302 clinical medicineTransnasal approachClivusTransnasal approachTransoral approachmedicineCadaverHumans030212 general & internal medicineCervical AtlasAxis Cervical VertebraAgedAged 80 and overMouthSettore MED/27 - Neurochirurgiabusiness.industryCraniovertebral junctionTransoral approachEndoscopyAnatomySettore MED/43 - MEDICINA LEGALEMiddle Agedmedicine.diseaseRadiographymedicine.anatomical_structureOccipital BoneNeuroendoscopySurgeryFemaleNeurology (clinical)RadiologyNasal CavitybusinessTomography X-Ray Computed030217 neurology & neurosurgerydescription
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).
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-01-26 | Acta neurochirurgica. Supplement |