scholarly journals Surgical Anatomy for the Endoscopic Transnasal Approach to the Craniovertebral Junction

2014 ◽  
Vol 23 (3) ◽  
pp. 227-231
Author(s):  
Masahiro Shin ◽  
Kenji Kondo ◽  
Nobuhito Saito
Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A96-A103 ◽  
Author(s):  
Harminder Singh ◽  
James Harrop ◽  
Paul Schiffmacher ◽  
Marc Rosen ◽  
James Evans

Abstract BACKGROUND Chordomas are primarily malignant tumors encountered at either end of the neural axis; the craniovertebral junction and the sacrococcygeal junction. In this article, we discuss the surgical management of craniovertebral junction chordomas. OBJECTIVE In this paper, we discuss the surgical management of craniovertebral junction chordomas. RESULTS The following approaches are illustrated: transoral-transpalatopharyngeal approach, high anterior cervical retropharyngeal approach, endoscopic transoral approach, and endoscopic transnasal approach. No single operative approach can be used for all craniovertebral chordomas. Therefore, the location of the tumor dictates which approach or approaches should be used.


2020 ◽  
Vol 84 (4) ◽  
pp. 46
Author(s):  
A.N. Shkarubo ◽  
V.N. Nikolenko ◽  
I.V. Chernov ◽  
D.N. Andreev ◽  
M.A. Shkarubo ◽  
...  

2020 ◽  
Vol 218 ◽  
pp. 03016
Author(s):  
Wenyuan He ◽  
Qingying Qin ◽  
Guxian Wang

With the development of Neurosurgery technology, there has been a qualitative leap forward with the appearance of microanatomy, which makes the deep brain tumors which were hard to be achieved in the past, and effectively reduces the mortality of patients. Petrous apex is a cone-shaped part of the anteromedial part of the temporal bone, which is deep. It has been a challenging area for surgical anatomy for a long time. In this paper, fresh adult perfused cadaveric head specimens and dry adult cadaveric head specimens were taken as the experimental objects. The anterior wall of sphenoid sinus and the internal septum of sphenoid sinus were excised under neuroendoscope. The structures of the lateral wall of sphenoid sinus were identified and dissected. The lateral wall of sphenoid sinus and the bone of skull base were opened with micro drill, The meninges were exposed and cut open, and the related structures were dissected, observed and photographed. The experimental results show that it is relatively safe to operate in the range of less than 8mm, and the rock tip can be found accurately. The measurement of the bony structure of the skull base is helpful for the surgeon to judge the course of the internal carotid artery and its adjacent structure.


Author(s):  
Cesare Zoia ◽  
Daniele Bongetta ◽  
Sabino Luzzi

Abstract Background Odontoidectomy may represent the treatment of choice for symptomatic ventral craniovertebral junction stenosis in selected cases. An endoscopic transnasal approach has been proposed as an alternative to a classic transoral approach. Method We report a case of a patient with a craniovertebral junction stenosis due to the ossification of the posterior ligament. The clinical and radiological records of the patient and a step-by-step description of the surgical technique are presented (Fig. 1). Conclusion Endoscopic transnasal odontoidectomy provides a direct access to the dens and adjacent structures of the anterior upper cervical spine with a less invasive burden on the oropharingeal structures.The link to the video can be found at: https://youtu.be/Ofrk1sFTV9I.


Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Carl Snyderman ◽  
Amin Kassam ◽  
Paul Gardner ◽  
Ricardo Carrau ◽  
Richard Spiro

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Amir Dehdashti ◽  
Fred Gentili ◽  
Ian Witterick ◽  
Ahmed Ganna

Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
D.H. Wang ◽  
H.P. Yu ◽  
X.C. Sun ◽  
L. Hu

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