Endoscopic endonasal approach for odontoidectomy

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
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Author: Walter Jean
Published:
Specialties: Neurosurgery, Otolaryngology
Schools: Georgetown University Hospital
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Basic Info

Contributors: M. Nathan Nair and Timothy Deklotz

For patients with basilar invagination, an odontoidectomy may be necessary to decompress the brainstem, before further correction and stabilization of the craniocervical junction can be achieved. The open-mouth odontoidectomy procedure is associated with significant moribdity, and the endoscopic endonasal approach may be a better option. In this video, we provide a step-by-step demonstration of the endoscpic endonasal approach for odontoidectomy.

DOI:http://dx.doi.org/10.17797/6mx9qe789f

Advanced

Procedure

Endoscopic endonasal approach for odoitoidectomy

Indications

basilar invagination

Contraindications

Instrumentation

Setup

Preoperative Workup

CT of the craniocervical junction with 3D re-construction

Anatomy and Landmarks

Advantages/Disadvantages

Advantage: avoid incision in the oropharynx, which is needed for the open-mouth alternative of the procedure

Complications/Risks

The main risks of the procedure include injuring the cervical carotid arteries and dural tears behind the odontoid

Disclosure of Conflicts

The main risks of the procedure include injuring the cervical carotid arteries and dural tears behind the odontoid

Acknowledgements

References

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