Journal ArticleDOI
Transoral microsurgical odontoid resection and spinal cord monitoring.
TLDR
Four patients underwent transoral resection of the odontoid with utilization of microsurgical technique and spinal cord monitoring of somatosensory cortical evoked responses and all patients improved following surgery, and no operative morbidity or mortality was encountered.Abstract:
Four patients underwent transoral resection of the odontoid with utilization of microsurgical technique and spinal cord monitoring of somatosensory cortical evoked responses. All patients improved following surgery, and no operative morbidity or mortality was encountered. Spinal cord monitoring enhances the safety of the procedure and, reapplied at a later date, detects information of prognostic value.read more
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Journal ArticleDOI
Transoral-transpharyngeal approach to the anterior craniocervical junction: Ten-year experience with 72 patients
TL;DR: The anterior transoral-transpharyngeal operation to correct ventral irreducible compression of the cervicomedullary junction was utilized in 72 individuals, and there were two deaths within 30 days of surgery.
Journal ArticleDOI
Rheumatoid arthritis of the cervical spine. A long-term analysis with predictors of paralysis and recovery.
TL;DR: The range of the posterior atlanto-odontoid interval that was associated with poor or no recovery after the operation was observed, and the safe range was identified on the basis of the patients in whom paralysis did not develop.
Journal ArticleDOI
The transoral approach to the superior cervical spine. A review of 53 cases of extradural cervicomedullary compression.
TL;DR: The transoral-transclival surgical approach is the most direct operative approach to pathology ventral to the brain stem and superior spinal cord and is efficacious in the treatment of extradural compressive lesions from the cervicomedullary junction to the C-4 vertebra.
Journal Article
The transoral approach to the base of the brain and upper cervical cord.
TL;DR: The transoral surgical approach allows access to structures from the sphenoid sinus rostrally to the fourth cervical vertebral body caudally, particularly useful for lesions at the anterior aspect of the craniocervical junction.
Journal ArticleDOI
Pediatric transoral surgery: indications, complications, and long-term outcome
TL;DR: It is suggested that although transoral surgery can be effective, it also carries a significant risk of neurological injury in patients with symptomatic spinal cord compression and it is also associated with long-term swallowing and speech difficulties.