Endoscopy-assisted high cervical anterolateral retropharyngeal approach to clivus: a cadaveric study.

Autor:	Cicek C; Department of Neurosurgery, Zonguldak State Hospital, Zonguldak, Türkiye., Orhun Ö; Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Türkiye., Cevik OM; Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydınlar University, Istanbul, Türkiye., Rzayeva L; School of Medicine, Acıbadem Mehmet Ali Aydinlar University, Istanbul, Türkiye., Güdük M; Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydınlar University, Istanbul, Türkiye., Usseli Mİ; Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydınlar University, Istanbul, Türkiye., Aksoy ME; School of Medicine, Acıbadem Mehmet Ali Aydinlar University, Istanbul, Türkiye., Emel E; Department of Neurosurgery, Bakirkoy Teaching and Research Hospital for Psychiatric and Nervous Diseases, University of Health Sciences, Istanbul, Türkiye., Pamir MN; Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydınlar University, Istanbul, Türkiye., Bozkurt B; Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydınlar University, Istanbul, Türkiye.
Jazyk:	angličtina
Zdroj:	Frontiers in surgery [Front Surg] 2024 Jul 22; Vol. 11, pp. 1397729. Date of Electronic Publication: 2024 Jul 22 (Print Publication: 2024).
DOI:	10.3389/fsurg.2024.1397729
Abstrakt:	Introduction: The surgical management of pathologies involving the clivus and craniocervical junction has always been considered a complex procedure because of the deeply located surgical targets and the surrounding complex neural and vascular anatomical structures. The most commonly used approaches to reach this area are the transnasal, transoral, and transcervical approaches. Material and Methods: This approach was performed unilaterally on five cadaver heads and bilaterally on one cadaver head. Results: We described a modified endoscope-assisted high cervical anterolateral retropharyngeal approach in which each stage of the procedure was demonstrated on human cadavers in a step-by-step manner using endoscopic camera views. This approach was broken down into nine steps. The neurovascular structures encountered at each step and their relationships with each other are demonstrated. Discussion: The advantages and disadvantages of our modified approach were compared to the conventional transcervical, transoral, and endoscopic endonasal approaches. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Cicek, Orhun, Cevik, Rzayeva, Güdük, Usseli, Aksoy, Emel, Pamir and Bozkurt.)
Databáze:	MEDLINE
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