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Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature

Osteoid osteoma (OO) is a primary benign tumor that accounts for up to 3% of all bone tumors. The cervical spine is less affected by OOs, and very few cases of C2 OOs have been reported in the literature, both in adults and children. Surgery may be required in case of functional torticollis, stiffne...

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Autores principales: Giammalva, Giuseppe Roberto, Dell’Aglio, Letizia, Guarrera, Brando, Baro, Valentina, Calvanese, Leonardo, Schiavo, Gloria, Mantovani, Giulia, Rinaldi, Valentina, Iacopino, Domenico Gerardo, Causin, Francesco, Nicolai, Piero, Ferrari, Marco, Denaro, Luca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316770/
https://www.ncbi.nlm.nih.gov/pubmed/35884723
http://dx.doi.org/10.3390/brainsci12070916
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author Giammalva, Giuseppe Roberto
Dell’Aglio, Letizia
Guarrera, Brando
Baro, Valentina
Calvanese, Leonardo
Schiavo, Gloria
Mantovani, Giulia
Rinaldi, Valentina
Iacopino, Domenico Gerardo
Causin, Francesco
Nicolai, Piero
Ferrari, Marco
Denaro, Luca
author_facet Giammalva, Giuseppe Roberto
Dell’Aglio, Letizia
Guarrera, Brando
Baro, Valentina
Calvanese, Leonardo
Schiavo, Gloria
Mantovani, Giulia
Rinaldi, Valentina
Iacopino, Domenico Gerardo
Causin, Francesco
Nicolai, Piero
Ferrari, Marco
Denaro, Luca
author_sort Giammalva, Giuseppe Roberto
collection PubMed
description Osteoid osteoma (OO) is a primary benign tumor that accounts for up to 3% of all bone tumors. The cervical spine is less affected by OOs, and very few cases of C2 OOs have been reported in the literature, both in adults and children. Surgery may be required in case of functional torticollis, stiffness, and reduced range of motion (ROM) due to cervical OOs refractory to medical therapy. Several posterior and anterior surgical techniques have been described to remove C2 OOs. In particular, anterior approaches to the cervical spine represent the most used surgical route for treating C2 OOs. We describe the first case of OO of the odontoid process removed through a transnasal endoscopic approach with the aid of neuronavigation in a 6-year-old child. No intraoperative complications occurred, and the post-operative course was uneventful. The patient had immediate relief of neck pain and remained pain-free throughout the follow-up period, with complete functional recovery of the neck range of motion (ROM). In this case, based on the favorable anatomy, the transnasal endoscopic approach represented a valuable strategy for the complete removal of an anterior C2 OO without the need for further vertebral fixation since the preservation of ligaments and paravertebral soft tissue.
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spelling pubmed-93167702022-07-27 Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature Giammalva, Giuseppe Roberto Dell’Aglio, Letizia Guarrera, Brando Baro, Valentina Calvanese, Leonardo Schiavo, Gloria Mantovani, Giulia Rinaldi, Valentina Iacopino, Domenico Gerardo Causin, Francesco Nicolai, Piero Ferrari, Marco Denaro, Luca Brain Sci Review Osteoid osteoma (OO) is a primary benign tumor that accounts for up to 3% of all bone tumors. The cervical spine is less affected by OOs, and very few cases of C2 OOs have been reported in the literature, both in adults and children. Surgery may be required in case of functional torticollis, stiffness, and reduced range of motion (ROM) due to cervical OOs refractory to medical therapy. Several posterior and anterior surgical techniques have been described to remove C2 OOs. In particular, anterior approaches to the cervical spine represent the most used surgical route for treating C2 OOs. We describe the first case of OO of the odontoid process removed through a transnasal endoscopic approach with the aid of neuronavigation in a 6-year-old child. No intraoperative complications occurred, and the post-operative course was uneventful. The patient had immediate relief of neck pain and remained pain-free throughout the follow-up period, with complete functional recovery of the neck range of motion (ROM). In this case, based on the favorable anatomy, the transnasal endoscopic approach represented a valuable strategy for the complete removal of an anterior C2 OO without the need for further vertebral fixation since the preservation of ligaments and paravertebral soft tissue. MDPI 2022-07-13 /pmc/articles/PMC9316770/ /pubmed/35884723 http://dx.doi.org/10.3390/brainsci12070916 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Giammalva, Giuseppe Roberto
Dell’Aglio, Letizia
Guarrera, Brando
Baro, Valentina
Calvanese, Leonardo
Schiavo, Gloria
Mantovani, Giulia
Rinaldi, Valentina
Iacopino, Domenico Gerardo
Causin, Francesco
Nicolai, Piero
Ferrari, Marco
Denaro, Luca
Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title_full Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title_fullStr Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title_full_unstemmed Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title_short Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature
title_sort transnasal endoscopic approach for osteoid osteoma of the odontoid process in a child: technical note and systematic review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316770/
https://www.ncbi.nlm.nih.gov/pubmed/35884723
http://dx.doi.org/10.3390/brainsci12070916
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