Endoscopic Endonasal Odontoidectomy in Pediatric Patients with Congenital Skeletal Dysplasia: A Case Series.

Autor: Jackson, Hudin N., Ramaswamy, Uma, Giannoni, Carla, Whitehead, William E., Bauer, David F
Předmět:
Zdroj: Journal of Neurological Surgery. Part B. Skull Base; 2024 Supplement, Vol. 85, pS1-S398, 398p
Abstrakt: This article discusses the use of endoscopic endonasal odontoidectomy as a treatment for pediatric patients with ventral brainstem compression caused by congenital skeletal dysplasia. The study involved four pediatric patients who underwent posterior instrumented fusion followed by endoscopic endonasal odontoid resection. The patients experienced symptoms such as dysphagia, dysphonia, gait instability, extraocular movement dysfunction, and tongue numbness. The procedure was successful in achieving brainstem decompression and improving or resolving preoperative symptoms. The article highlights the challenges of performing this procedure in pediatric patients, including narrow nasopharyngeal anatomy and the need for preoperative planning and specialized instruments. [Extracted from the article]
Databáze: Complementary Index