Transoral approach and its superior extensions to the craniovertebral junction malformations: Surgical strategies and results

Neurosurgery

Volumn 64, Issue SUPPL. 5, 2009, Pages

  Perrini, Paolo ^a   Benedetto, Nicola ^b   Guidi, Enrico ^b   Di Lorenzo, Nicola ^b  

^a UNIVERSITY OF PISA   (Italy)

^b UNIVERSITY OF FLORENCE   (Italy)

Author keywords

Basilar invagination; Chiari malformation; Cranial settling; Craniovertebral malformation; Le Fort I osteotomy; Transoral approach

Indexed keywords

ANTIBIOTIC AGENT; FIBRIN GLUE; LOW MOLECULAR WEIGHT HEPARIN; ANTICOAGULANT AGENT;

ADULT; AGED; ARNOLD CHIARI MALFORMATION; ARTICLE; ATAXIA; ATLANTOAXIAL DISLOCATION; BASILAR ARTERY; BRACHIALGIA; BRAIN DECOMPRESSION; BRAIN INJURY; CEREBROSPINAL FLUID DRAINAGE; CHEST INFECTION; CLINICAL ARTICLE; COMPRESSION BANDAGE; CRANIOVERTEBRAL JUNCTION MALFORMATION; DECUBITUS; DEEP VEIN THROMBOSIS; DISEASE SEVERITY; DURA MATER TEAR; DYSESTHESIA; DYSPHAGIA; FACE ASYMMETRY; FACIAL NERVE DISEASE; FEMALE; FOLLOW UP; HEADACHE; HEMIPARESIS; HUMAN; INJURY; LACERATION; LIQUORRHEA; MALE; MALOCCLUSION; MENINGITIS; MOTOR DYSFUNCTION; NECK PAIN; NEUROSURGERY; NYSTAGMUS; PARAPLEGIA; PARESTHESIA; POSTERIOR FOSSA; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; QUADRIPLEGIA; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; SENSORY DYSFUNCTION; SKULL MALFORMATION; SURGICAL APPROACH; SURGICAL INFECTION; SURGICAL MORTALITY; TRANSORAL SURGERY; URINARY TRACT INFECTION; VENOUS THROMBOEMBOLISM; VERTEBRA MALFORMATION; WOUND DEHISCENCE; ATLANTOOCCIPITAL JOINT; BASILAR MEMBRANE; CLINICAL EVALUATION; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CRANIOTOMY; DECOMPRESSION SURGERY; DURA MATER; FORAMEN MAGNUM; FRACTURE FIXATION; INVAGINATION; JOINT MALFORMATION; MORBIDITY; MORTALITY; NEURORADIOLOGY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT MONITORING; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; REVIEW; SUBARACHNOID SPACE; SURGICAL TECHNIQUE; TRANSORAL APPROACH; TREATMENT PLANNING; WOUND INFECTION;

ADULT; AGED; ARNOLD-CHIARI MALFORMATION; DECOMPRESSION, SURGICAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PLATYBASIA; RETROSPECTIVE STUDIES; SPINAL CORD COMPRESSION; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 69249095437     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.NEU.0000334430.25626.DC     Document Type: Article

References (56)

1. Al-Mefty O, Borba LA, Aoki N, Angtuaco E, Pait G: The transcondylar approach to extradural nonneoplastic lesions of the craniovertebral junction. J Neurosurg 84:1-6, 1996. (Pubitemid 26006989)
2. Ammirati M: Mandibular swing-transcervical approach, in Dickman CA, Spetzler RF, Sonntag VH (eds): Surgery of the Craniovertebral Junction. New York, Thieme, 1998, pp 457-465.
3. Anand VK, Harkey HL, Al-Mefty O: Open-door maxillotomy approach for lesions of the clivus. Skull Base Surg 1:217-225.
4. Archer DJ, Young S, Uttley D: Basilar aneurysm: A new transclival approach via maxillotomy. J Neurosurg 67:54-58, 1987. (Pubitemid 17085013)
5. Balasingam V, Anderson GJ, Gross ND, Cheng CM, Noguchi A, Dogan A, McMenomey SO, Delashaw JB Jr, Andersen PE: Anatomical analysis of transoral surgical approaches to the clivus. J Neurosurg 105:301-308, 2006. (Pubitemid 44238626)
6. Barucha EP, Dastur HM: Craniovertebral anomalies (a report on 40 cases). Brain 87:469-480, 1964.
7. Behari S, Kalra SK, Kiran Kumar MV, Salunke P, Jaiswal AK, Jain VK: Chiari I malformation associated with atlanto-axial dislocation: Focussing on the anterior cervico-medullary compression. Acta Neurochir (Wien) 149:41-50, 2007. (Pubitemid 46090188)
8. Caetano de Barros M, Farias W, Ataide L, Lins S: Basilar impression and Arnold-Chiari malformation: A study of 66 cases. J Neurol Neurosurg Psychiatry 31:596-605, 1968.
9. Cantore GP, Guidetti B, Moscatelli G: A new antibiotic "mastic" in neurosurgery. Fourth International Congress of Neurological Surgery, New York, New York, September 20-27, 1969. Excerpta Medica International Congress Series, no.193, p 46.
10. Chamberlain WE: Basilar impression (platybasia). A bizarre developmental anomaly of the occipital bone and upper cervical spine with striking and misleading neurologic manifestations. Yale J Biol Med 11:487-496, 1939.
11. Colligon FP, Cohen-Gadol AA, Krauss WE: Circumferential decompression of the foramen magnum for the treatment of syringomyelia associated with basilar invagination. Neurosurg Rev 27:168-172, 2004.
12. Crockard HA: Transoral surgery: Some lessons learned. Br J Neurosurg 9:283-293, 1995.
13. Crockard HA, Calder I, Ransford AO: One-stage transoral decompression and posterior fixation in rheumatoid atlanto-axial subluxation. J Bone Joint Surg Br 72:682-685, 1990. (Pubitemid 20221128)
14. Dastur DK, Wadia NH, Desai AD, Sinh G: Medullospinal compression due to atlanto-axial dislocation and sudden haematomyelia during decompression. Pathology, pathogenesis and clinical correlation. Brain 88:897-924, 1965.
15. Dickman CA, Locantro J, Fessler RG: The influence of odontoid resection on stability of the craniovertebral junction. J Neurosurg 77:525-530, 1992.
16. 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. (Pubitemid 19037711)
17. Di Lorenzo N: Craniocervical junction malformation treated by transoral approach. A survey of 25 cases with emphasis on postoperative instability and outcome. Acta Neurochir (Wien) 118:112-116, 1992.
18. Di Lorenzo N, Fortuna A, Guidetti B: Craniovertebral junction malformations. Clinicoradiological findings, long-term results and surgical indications in 63 cases. J Neurosurg 57:603-608, 1982.
19. Goel A, Desai K: Surgery for syringomyelia: An analysis based on 163 surgical cases. Acta Neurochir (Wien) 142:293-302, 2000. (Pubitemid 30157732)
20. Goel A, Bhatjiwale M, Desai K: Basilar invagination: A study based on 190 surgically treated patients. J Neurosurg 88:962-968, 1998. (Pubitemid 28261841)
21. Greenberg AD, Scoville WB, Davey LM: Transoral decompression of atlanto-axial dislocation due to odontoid hypoplasia. Report of two cases. J Neurosurg 28:266-269, 1968.
22. Hadley MN, Spetzler RF, Sonntag VK: The transoral approach to the superior cervical spine. A review of 53 cases of extradural cervicomedullary compression. J Neurosurg 71:16-23, 1989. (Pubitemid 19196546)
23. Harkey HL, Crockard HA, Stevens JM, Smith R, Ransford AO: The operative management of basilar impression in osteogenesis imperfecta. Neurosurgery 27:782-786, 1990. (Pubitemid 20339232)
24. Harris JP, Godin MS, Krekorian TD, Alksne JF: The transoropalatal approach to the atlanto-clival region: Considerations of the head and neck surgeon. Laryngoscope 99:467-474, 1989.
25. Hurlbert RJ, Crawford NR, Choi WG, Dickman CA: A biomechanical evaluation of occipitocervical instrumentation: Screw compared with wire fixation. J Neurosurg 90:84-90. 1999.
26. Jain VK, Behari S, Banerji D, Bhargava V, Chhabra DK: Transoral decompression for craniovertebral osseous anomalies: Perioperative management dilemmas. Neurol India 47:188-195, 1999. (Pubitemid 29502318)
27. James D, Crockard HA: Surgical access to the base of skull and upper cervical spine by extended maxillotomy. Neurosurgery 29:411-416, 1991.
28. Janecka IP: Transoral-translabiomandibular approach to the craniovertebral junction, in Dickman CA, Spetzler RF, Sonntag VH (eds): Surgery of the Craniovertebral Junction. New York, Thieme, 1998, pp 383-393.
29. Jones DC, Hayter JP, Vaughan ED, Findlay GF: Oropharyngeal morbidity following transoral approaches to the upper cervical spine. Int J Oral Maxillofac Surg 27:295-298, 1998. (Pubitemid 128364305)
30. Kanavel AB: Bullet located between the atlas and the base of the skull: technique of removal through the mouth. Surg Clin Chicago 1:361-366, 1917.
31. Kingdom TT, Nockels RP, Kaplan MJ: Transoral-transpharyngeal approach to the craniocervical junction. Otolaryngol Head Neck Surg 113:393-400, 1995.
32. Klekamp J, Batzdorf U, Samii M, Bothe HW: The surgical treatment of Chiari I malformation. Acta Neurochir (Wien) 138:788-801, 1996.
33. Menezes AH: The anterior midline approach to the craniocervical region in children. Pediatr Neurosurg 18:272-281, 1992.
34. Menezes AH: Primary craniovertebral anomalies and the hindbrain herniation syndrome (Chiari I): Data base analysis. Pediatr Neurosurg 23:260-269, 1995.
35. Menezes AH, VanGilder JC: Transoral-transpharyngeal approach to the anterior craniocervical junction. Ten-year experience with 72 patients. J Neurosurg 69:895-903, 1988.
36. Menezes AH, Graf CJ, Hibri N: Abnormalities of the cranio-vertebral junction with cervico-medullary compression. A rational approach to surgical treatment in children. Childs Brain 7:15-30, 1980.
37. Menezes AH, Traynelis VC, Gantz BJ: Surgical approaches to the craniovertebral junction. Clin Neurosurg 41:187-203, 1994.
38. Menezes AH, VanGilder JC, Graf CJ, McDonnell DE: Craniocervical abnormalities. A comprehensive surgical approach. J Neurosurg 53:444-455, 1980.
39. Mummanemi PV, Haid RW: Transoral odontoidectomy. Neurosurgery 56:1045-1050, 2005.
40. Naderi S, Pamir N: Further cranial settling of the upper cervical spine following odontoidectomy. Report of two cases. J Neurosurg (Spine) 95:246-249, 2001. (Pubitemid 33730847)
41. Naderi S, Crawford NR, Melton MS, Sonntag VK, Dickman CA: Biomechanical analysis of cranial settling after transoral odontoidectomy. Neurosurg Focus 6:e7, 1999.
42. Nishikawa M, Sakamoto H, Hakuba A, Nakanishi N, Inoue Y: Pathogenesis of Chiari malformation: A morphometric study of the posterior cranial fossa. J Neurosurg 86:40-47, 1997. (Pubitemid 27009973)
43. Oda I, Abumi K, Sell LC, Haggerty CJ, Cunningham BW, McAfee PC: Biomechanical evaluation of five different occipito-atlanto-axial fixation techniques. Spine 24:2377-2382, 1999.
44. Pásztor E, Vajda J, Piffkó P, Horváth M, Gádor I: Transoral surgery for craniocervical space-occupying processes. J Neurosurg 60:276-281, 1984.
45. Perrini P, Benedetto N, Tenenbaum R, Di Lorenzo N: Extra-arachnoidal cranio-cervical decompression for syringomyelia associated with Chiari I malformation in adults: Technique assessment. Acta Neurochir (Wien) 149:1015-1023, 2007. (Pubitemid 47547155)
46. Sasaki CT, Lowlicht RA, Tokashiki R: Horizontal maxillotomy for exposure of the central skull base: The Yale experience. J Neurooncol 55:173-177, 2001. (Pubitemid 34134041)
47. Schady W, Metcalfe RA, Butler P: The incidence of craniocervical bony anomalies in the adult Chiari malformation. J Neurol Sci 82:193-203, 1987. (Pubitemid 18002000)
48. Sindou M, Chávez-Machuca J, Hashish H: Cranio-cervical decompression for Chiari type I-malformation, adding extreme lateral foramen magnum opening and expansile duroplasty with arachnoid preservation. Technique and long-term functional results in 44 consecutive adult cases - comparison with literature data. Acta Neurochir (Wien) 144:1005-1019, 2002. (Pubitemid 35232031)
49. Spetzler RF, Dickman CA, Sonntag VK: The transoral approach to the anterior cervical spine. Contemp Neurosurg 13:1-6, 1991.
50. Stevenson GC, Stoney RJ, Perkins RK, Adams JE: A transcervical transclival approach to the ventral surface of the brain stem for removal of a clivus chordoma. J Neurosurg 24:544-551, 1966.
51. Tuite GF, Veres R, Crockard HA, Sell D: Pediatric transoral surgery: Indications, complications, and long term outcome. J Neurosurg 84:573-583, 1996. (Pubitemid 26104224)
52. Türe U, Pamir MN: Extreme lateral-transatlas approach for resection of the dens of the axis. J Neurosurg 96:73-82, 2002. (Pubitemid 34226543)
53. Uttley D, Moore A, Archer DJ: Surgical management of midline skull base tumors: A new approach. J Neurosurg 71:705-710, 1989. (Pubitemid 19275769)
54. Vardiman AB, Dickman CA, Sonntag VKH: Modified anterolateral retropharyngeal approach to the craniovertebral junction, in Dickman CA, Spetzler RF, Sonntag VH (eds): Surgery of the Craniovertebral Junction. New York, Thieme, 1998, pp 419-431.
55. Vishteh AG, Beals SP, Joganic EF, Reiff JL, Dickman CA, Sonntag VK, Spetzler RF: Bilateral sagittal split mandibular osteotomies as adjunct to the transoral approach to the anterior craniovertebral junction. Technical note. J Neurosurg 90:267-270, 1999.
56. Wadia NH: Myelopathy complicating congenital atlanto-axial dislocation (a study of 28 cases). Brain 90:449-472, 1967.