Comparative analysis of endoscopic transnasal and microsurgical transoral odontoidectomy: Literature review and own experience
- 作者: Shkarubo A.N.1,2, Nazarenko A.G.3, Chernov I.V.1, Andreev D.N.1, Kuleshov A.A.3, Konovalov N.A.1, Lisyanskiy I.N.3, Sinelnikov M.E.4
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隶属关系:
- Burdenko National Medical Research Center of Neurosurgery
- Russian Medical Academy of Continuous Professional Education
- Priorov National Medical Research Center of Traumatology and Orthopedics
- Sechenov First Moscow State Medical University (Sechenov University)
- 期: 卷 30, 编号 1 (2023)
- 页面: 41-62
- 栏目: Original study articles
- URL: https://ogarev-online.ru/0869-8678/article/view/254191
- DOI: https://doi.org/10.17816/vto321930
- ID: 254191
如何引用文章
详细
BACKGROUND: Odontoidectomy is indicated in the case of anterior compression of brainstem structures by an invaginated dentoid process, and it is currently possible to perform both transoral microsurgical and transnasal endoscopic access.
OBJECTIVE: To conduct a comparative analysis of endoscopic transnasal and microsurgical transoral odontoidectomy performed by the first author.
MATERIALS AND METHODS: The treatment results of 29 patients with pathological conditions, including anterior compression of stem structures with an invaginated dentoid process, were analyzed. Of 29 patients, 5 (17%) underwent surgery transnasally endoscopically, and 24 (83%) underwent surgery transorally microsurgically.
RESULTS: Decompression of brainstem structures was achieved in all cases. The absence of the need to install a tracheostomy before surgery and the smaller volume of oropharyngeal trauma allow patients to undergo transnasal removal of the dentoid process and endure the postoperative period easier and faster.
CONCLUSION: Currently, endoscopic transnasal access is gradually replacing transoral access in certain patients who are indicated for anterior odontoidectomy. Moreover, the literature analysis shows an ever deeper development of this technique; however, unambiguous indications of the use of transoral or transnasal access have not been formed at present.
作者简介
Alexey Shkarubo
Burdenko National Medical Research Center of Neurosurgery; Russian Medical Academy of Continuous Professional Education
Email: ashkarubo@nsi.ru
ORCID iD: 0000-0003-3445-3115
SPIN 代码: 3420-3394
MD, Dr. Sci. (Med.), neurosurgeon
俄罗斯联邦, 16 Tverskaya-Yamskaya Str., 125047 Moscow; 2/1, building 1, Barrikadnaya st., 123242 MoscowAnton Nazarenko
Priorov National Medical Research Center of Traumatology and Orthopedics
Email: cito@cito-priorov.ru
ORCID iD: 0000-0003-1314-2887
SPIN 代码: 1402-5186
professor of RAS, traumatologist-orthopedist
俄罗斯联邦, 10, st. Priorova, 127299 MoscowIlya Chernov
Burdenko National Medical Research Center of Neurosurgery
编辑信件的主要联系方式.
Email: ichernov@nsi.ru
ORCID iD: 0000-0002-9789-3452
SPIN 代码: 3550-1153
MD, Cand. Sci. (Med.), neurosurgeon
俄罗斯联邦, 16 Tverskaya-Yamskaya Str., 125047 MoscowDmitry Andreev
Burdenko National Medical Research Center of Neurosurgery
Email: dandreev@nsi.ru
ORCID iD: 0000-0001-5473-4905
SPIN 代码: 8516-7994
MD, Cand. Sci. (Med.), neurosurgeon
俄罗斯联邦, 16 Tverskaya-Yamskaya Str., 125047 MoscowAlexandr Kuleshov
Priorov National Medical Research Center of Traumatology and Orthopedics
Email: Cito-spine@mail.ru
MD, Dr. Sci. (Med.), traumatologist-orthopedist
俄罗斯联邦, 10, st. Priorova, 127299 MoscowNikolai Konovalov
Burdenko National Medical Research Center of Neurosurgery
Email: NAKonovalov@nsi.ru
ORCID iD: 0000-0003-0824-1848
SPIN 代码: 9436-3719
MD, Dr. Sci. (Med.), corresponding member of RAS, neurosurgeon
俄罗斯联邦, 16 Tverskaya-Yamskaya Str., 125047 MoscowIgor Lisyanskiy
Priorov National Medical Research Center of Traumatology and Orthopedics
Email: lisigornik@list.ru
SPIN 代码: 9845-1251
MD, Cand. Sci. (Med.), traumatologist-orthopedist
俄罗斯联邦, 10, st. Priorova, 127299 MoscowMikhail Sinelnikov
Sechenov First Moscow State Medical University (Sechenov University)
Email: snlnkv15@icloud.com
ORCID iD: 0000-0002-0862-6011
SPIN 代码: 6341-0943
MD, Cand. Sci. (Med.), oncologist
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