Transoral and Transnasal Odontoidectomy Complications: A Systematic Review and Meta-Analysis
Highlights • Thirteen studies (92 patients) used a transnasal approach. • The remaining thirteen studies (1238 patients) performed a transoral approach. • Transoral odontoidectomy exhibited 90.0% neurologic improvement and 0.9% worsening. • Transnasal odontoidectomy showed 94.0% neurologic improveme...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2016-09, Vol.148, p.121-129 |
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| container_title | Clinical neurology and neurosurgery |
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| creator | Shriver, Michael F., BS Kshettry, Varun R., MD Sindwani, Raj, MD Woodard, Troy, MD Benzel, Edward C., MD Recinos, Pablo F., MD |
| description | Highlights • Thirteen studies (92 patients) used a transnasal approach. • The remaining thirteen studies (1238 patients) performed a transoral approach. • Transoral odontoidectomy exhibited 90.0% neurologic improvement and 0.9% worsening. • Transnasal odontoidectomy showed 94.0% neurologic improvement and 0.0% worsening. • Transoral approach had a significantly higher rate of postoperative tracheostomy |
| doi_str_mv | 10.1016/j.clineuro.2016.07.019 |
| format | Article |
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All rights reserved.</rights><rights>Copyright Elsevier Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-2f3d15d8abf29fd666d51301ac4c33d596728712391b890718cd1a687af2998e3</citedby><cites>FETCH-LOGICAL-c550t-2f3d15d8abf29fd666d51301ac4c33d596728712391b890718cd1a687af2998e3</cites><orcidid>0000-0002-9748-2784</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S030384671630258X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27442001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shriver, Michael F., BS</creatorcontrib><creatorcontrib>Kshettry, Varun R., MD</creatorcontrib><creatorcontrib>Sindwani, Raj, MD</creatorcontrib><creatorcontrib>Woodard, Troy, MD</creatorcontrib><creatorcontrib>Benzel, Edward C., MD</creatorcontrib><creatorcontrib>Recinos, Pablo F., MD</creatorcontrib><title>Transoral and Transnasal Odontoidectomy Complications: A Systematic Review and Meta-Analysis</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>Highlights • Thirteen studies (92 patients) used a transnasal approach. • The remaining thirteen studies (1238 patients) performed a transoral approach. • Transoral odontoidectomy exhibited 90.0% neurologic improvement and 0.9% worsening. • Transnasal odontoidectomy showed 94.0% neurologic improvement and 0.0% worsening. • Transoral approach had a significantly higher rate of postoperative tracheostomy</description><subject>Basilar impression</subject><subject>Basilar invagination</subject><subject>Bias</subject><subject>Clinical outcomes</subject><subject>Confidence intervals</subject><subject>Craniovertebral junction</subject><subject>Endonasal</subject><subject>Endoscopic</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>Intraoperative Complications - etiology</subject><subject>Mouth - surgery</subject><subject>Natural Orifice Endoscopic Surgery - adverse effects</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Odontoid Process - surgery</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Velopharyngeal insufficiency</subject><issn>0303-8467</issn><issn>1872-6968</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkl1rFDEUhoNY7Fr9C2XAG29mPElm8uGFuCzaCi0FW8ELIWSTDGSdmazJjDL_3ky3H9AbvQovPOeEc56D0CmGCgNm73aV6fzgphgqknMFvAIsn6EVFpyUTDLxHK2AAi1FzfgxepnSDgAoZeIFOia8rgkAXqEfN1EPKUTdFXqwxW0adMrxyoZhDN46M4Z-Ljah33fe6NGHIb0v1sX1nEbX52yKr-63d39uG1y6UZfrQXdz8ukVOmp1l9zru_cEffv86WZzXl5cnX3ZrC9K0zQwlqSlFjdW6G1LZGsZY7bBFLA2taHUNpJxIjgmVOKtkMCxMBZrJrjOvBSOnqC3h777GH5NLo2q98m4rtODC1NSWGAshJQ1_w8UJNSiqWlG3zxBd2GKebQDhTnlnGWKHSgTQ0rRtWoffa_jrDCoRZXaqXtValGlgKusKhee3rWftr2zD2X3bjLw8QC4vLq84KiS8W4wzvqYpSgb_L__-PCkxYJli91PN7v0OI9KRIG6Xg5muRfMKJBGfKd_AZD6vCQ</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Shriver, Michael F., BS</creator><creator>Kshettry, Varun R., MD</creator><creator>Sindwani, Raj, MD</creator><creator>Woodard, Troy, MD</creator><creator>Benzel, Edward C., MD</creator><creator>Recinos, Pablo F., MD</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9748-2784</orcidid></search><sort><creationdate>20160901</creationdate><title>Transoral and Transnasal Odontoidectomy Complications: A Systematic Review and Meta-Analysis</title><author>Shriver, Michael F., BS ; 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| fulltext | fulltext |
| identifier | ISSN: 0303-8467 |
| ispartof | Clinical neurology and neurosurgery, 2016-09, Vol.148, p.121-129 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Basilar impression Basilar invagination Bias Clinical outcomes Confidence intervals Craniovertebral junction Endonasal Endoscopic Endoscopy Humans Intraoperative Complications - etiology Mouth - surgery Natural Orifice Endoscopic Surgery - adverse effects Neurology Neurosurgery Odontoid Process - surgery Ostomy Patients Postoperative Complications - etiology Studies Systematic review Velopharyngeal insufficiency |
| title | Transoral and Transnasal Odontoidectomy Complications: A Systematic Review and Meta-Analysis |
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