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Endoscopic endonasal approaches to the craniovertebral junction:The Otolaryngologist’s perspective

World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第2期6卷 94-99页

作者： Qasirn Husain Matthew H.Kim Ibrahirn Hussain Vijay K.Anand jeffrey p.greenfield Theodore H.Schwartz Ashutosh Kacker Department of Otolaryngology-Head&Neck Surgery Massachusetts Eye and Ear InfirmaryHarvard Medical School-BostonMAUSA Department of Otolaryngology-Head&Neck Surgery Weill Cornell Medical College e New YorkNYUSA Department of Neuroscience Weill Cornell Medical College-New YorkNYUSA

Objective:To review indications and techniques for the endoscopic endonasal approach to the craniovertebral junction(CVJ),analyze postoperative outcomes,and discuss important technical ***:A retrospective analysis was performed on all patients undergoing endonasal endoscopic approaches to the CVJ from May 2007 to June *** information,presenting symptoms,imaging results,treatment course,postoperative functional status,and followup were ***:There was a total of 30 patients in this series,with a mean follow-up of 11.7 *** average age was 33.6 years(range,5e75 years),with 18 females and 12 *** majority of patients(n Z 22,73.3%)had Chiari malformation type 1 with basilar invagination and symptomatic cervicomedullary compression as the indication for *** cerebrospinal fluid leak(CSF)was noted in 3 cases of odontoid resection and a single case of skull base *** were no postoperative CSF ***,81%of patients resumed regular diet by post-operative day 2(range,0e8 days).Severe postoperative dysphagia occurred in two cases with one requiring gastrostomy tube placement and another utilizing total parenteral nutrition for support prior to eventual *** average,patients were extubated by postoperative day 0.93(range 0e3 days),with 85%extubated by postoperative day 1.A tracheotomy was required in one ***:The endonasal endoscopic approach is a valuable technique for access to the CVJ with minimal disruption of respiratory and alimentary function.

关键词： Odontoidectomy Craniovertebral junction Endoscopic skull base surgery

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