Complications of transoral and transnasal odontoidectomy: a comprehensive review

Background Odontoidectomy has been considered an effective way to treat anterior cervicomedullary compression in patients presenting with craniocervical joint anomalies. The transoral and transnasal routes have been described for anterior decompression surgery. However, to date, a comprehensive revi...

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Veröffentlicht in:Child's nervous system 2016-01, Vol.32 (1), p.55-59
Hauptverfasser: Tubbs, R. Shane, Demerdash, Amin, Rizk, Elias, Chapman, Jens R., Oskouian, Rod J.
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container_end_page 59
container_issue 1
container_start_page 55
container_title Child's nervous system
container_volume 32
creator Tubbs, R. Shane
Demerdash, Amin
Rizk, Elias
Chapman, Jens R.
Oskouian, Rod J.
description Background Odontoidectomy has been considered an effective way to treat anterior cervicomedullary compression in patients presenting with craniocervical joint anomalies. The transoral and transnasal routes have been described for anterior decompression surgery. However, to date, a comprehensive review of the complications from this procedure is lacking in the extant medical literature. Therefore, herein, we review this specific literature as a resource for surgeons. Methods A comprehensive review of the literature via online search engines was performed. Conclusion The most reported complications for odontoidectomy are CSF leakage, postoperative craniocervical instability, velopharyngeal insufficiency, wound dehiscence, pulmonary issues, meningitis, and death. To our knowledge, this is the first comprehensive review of complications of odontoidectomy. Increased awareness of the more common complications associated with this procedure may help in the care of patients in the future.
doi_str_mv 10.1007/s00381-015-2864-6
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Therefore, herein, we review this specific literature as a resource for surgeons. Methods A comprehensive review of the literature via online search engines was performed. Conclusion The most reported complications for odontoidectomy are CSF leakage, postoperative craniocervical instability, velopharyngeal insufficiency, wound dehiscence, pulmonary issues, meningitis, and death. To our knowledge, this is the first comprehensive review of complications of odontoidectomy. Increased awareness of the more common complications associated with this procedure may help in the care of patients in the future.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26248673</pmid><doi>10.1007/s00381-015-2864-6</doi><tpages>5</tpages></addata></record>
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subjects Humans
Medicine
Medicine & Public Health
Mouth - surgery
Natural Orifice Endoscopic Surgery - adverse effects
Neurosciences
Neurosurgery
Nose - surgery
Odontoid Process - surgery
Postoperative Complications - physiopathology
Review Paper
title Complications of transoral and transnasal odontoidectomy: a comprehensive review
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