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Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report

The endoscopic endonasal approach is emerging as a feasible alternative to the trans-oral route for the resection of the odontoid process, when the latter produces a compression of the brainstem and cervicomedullary junction. This type of approach has some advantages, such as excellent pre-vertebral...

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Autores principales: GRAMMATICA, A., BONALI, M., RUSCITTI, F., MARCHIONI, D., PINNA, G., CUNSOLO, E.M., PRESUTTI, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SpA 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203716/
https://www.ncbi.nlm.nih.gov/pubmed/22058600
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author GRAMMATICA, A.
BONALI, M.
RUSCITTI, F.
MARCHIONI, D.
PINNA, G.
CUNSOLO, E.M.
PRESUTTI, L.
author_facet GRAMMATICA, A.
BONALI, M.
RUSCITTI, F.
MARCHIONI, D.
PINNA, G.
CUNSOLO, E.M.
PRESUTTI, L.
author_sort GRAMMATICA, A.
collection PubMed
description The endoscopic endonasal approach is emerging as a feasible alternative to the trans-oral route for the resection of the odontoid process, when the latter produces a compression of the brainstem and cervicomedullary junction. This type of approach has some advantages, such as excellent pre-vertebral exposure of the cranio-vertebral junction in patients with small oral cavities and the possibility to avoid the use of mouth retractors. A typical case of a 24-year-old male patient with a previous diagnosis of type I Arnold-Chiari Malformation, suffering from a posterior dislocation of the odontoid process causing severe anterior compression of the brainstem, is presented to stress the potential of this technique. Trans-nasal endoscopic removal of the odontoid process was performed and resolution of the ventral compression of the brainstem was achieved. This report demonstrates that in selected cases, an endoscopic endonasal approach should now be considered an excellent alternative to the traditional trans-oral approach.
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spelling pubmed-32037162011-11-04 Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report GRAMMATICA, A. BONALI, M. RUSCITTI, F. MARCHIONI, D. PINNA, G. CUNSOLO, E.M. PRESUTTI, L. Acta Otorhinolaryngol Ital Case Report The endoscopic endonasal approach is emerging as a feasible alternative to the trans-oral route for the resection of the odontoid process, when the latter produces a compression of the brainstem and cervicomedullary junction. This type of approach has some advantages, such as excellent pre-vertebral exposure of the cranio-vertebral junction in patients with small oral cavities and the possibility to avoid the use of mouth retractors. A typical case of a 24-year-old male patient with a previous diagnosis of type I Arnold-Chiari Malformation, suffering from a posterior dislocation of the odontoid process causing severe anterior compression of the brainstem, is presented to stress the potential of this technique. Trans-nasal endoscopic removal of the odontoid process was performed and resolution of the ventral compression of the brainstem was achieved. This report demonstrates that in selected cases, an endoscopic endonasal approach should now be considered an excellent alternative to the traditional trans-oral approach. Pacini Editore SpA 2011-08 /pmc/articles/PMC3203716/ /pubmed/22058600 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Case Report
GRAMMATICA, A.
BONALI, M.
RUSCITTI, F.
MARCHIONI, D.
PINNA, G.
CUNSOLO, E.M.
PRESUTTI, L.
Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title_full Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title_fullStr Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title_full_unstemmed Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title_short Transnasal endoscopic removal of malformation of the odontoid process in a patient with type I Arnold-Chiari malformation: a case report
title_sort transnasal endoscopic removal of malformation of the odontoid process in a patient with type i arnold-chiari malformation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203716/
https://www.ncbi.nlm.nih.gov/pubmed/22058600
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