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Transoral-Transpharyngeal Approach to the Cervical Spine

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Surgical Approaches to the Spine
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Abstract

1. Preoperative otolaryngologic evaluation of upper airway anatomy and velopharyngeal competence using a flexible nasopharyngoscope is obtained. Magnetic resonance imaging (MRI) and computerized tomography (CT) scanning of the craniocervical junction (cq) are done to define the location and extent of the lesion as well as cervicomedullary junction compression (Fig. 2G). Dynamic flexion and extension radiographs of the cervical spine are used to document preoperative instability. Vertebral artery angiograms are not performed routinely.

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References

  1. Fang HSY, Ong BG: Direct anterior approach to the upper cervical spine. J Bone Joint Surg 44A (8):1588–1606, 1962.

    Google Scholar 

  2. Apuzzo MLJ, Weiss MH, Hyden JS: Transoral exposure of the atlantoaxial joint. J Neurosurg 3 (2):201–207, 1978.

    Article  CAS  Google Scholar 

  3. Hodgson AR, Rau ACM: Anterior approach to the spinal column. Rec Adv Orthop IX:289–326, 1969.

    Google Scholar 

  4. Di Lorenzo N. Transoral approach to extradural lesions of the lower clivus and upper cervical spine: an experience of 19 cases. Neurosurgery 24:37–42, 1989.

    Article  PubMed  Google Scholar 

  5. Menvin GE, Post JC, Sypert GW: Transoral approach to the upper cervical spine. Laryngoscope 101:780–784, 1991.

    Google Scholar 

  6. Kingdom TT, Nockels RP, Kaplan MJ: Transoral-trallspharyllgeal approach to the craniocervical junction. OtOlaryllgol Head Neck Surg 113:393—400, 1995.

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  7. Bennett E, Sinha UK, Samudrala S, Kempler D: Modified trallsoral-transpharyngeal approach to the craniocervical junction. Presented at the 1999 Western Triological Section Meeting, January 8-10,1999, Denver, CO.

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  8. Bennett E, Sinha UK, Kempler D, Samudrala S: Transoral transpharyngeal approach to craniocervical junction. Presented at the Second Annual Southern California Resident Research Symposium, April 25, 1998, 3San Diego, CA.

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© 2003 Springer Science+Business Media New York

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Sinha, U.K., Samudrala, S. (2003). Transoral-Transpharyngeal Approach to the Cervical Spine. In: Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-0009-0_3

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  • DOI: https://doi.org/10.1007/978-1-4613-0009-0_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6508-5

  • Online ISBN: 978-1-4613-0009-0

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