The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports
The endoscopic endonasal approach (EEA) to the craniovertebral junction (CVJ) has recently been considered a safer alternative and less invasive approach than the traditional transoral approach because the complications associated with the latter are avoided or minimized. Here, we present two challe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Yeungnam University College of Medicine, Yeungnam University Institute Medical Science
2023-01-01
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| Series: | Journal of Yeungnam Medical Science |
| Subjects: | |
| Online Access: | http://www.e-jyms.org/upload/pdf/jyms-2022-00234.pdf |
| _version_ | 1797867226009698304 |
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| author | Baraa Dabboucy Wissem Lahiani Damien Bresson Nouman Aldahak |
| author_facet | Baraa Dabboucy Wissem Lahiani Damien Bresson Nouman Aldahak |
| author_sort | Baraa Dabboucy |
| collection | DOAJ |
| description | The endoscopic endonasal approach (EEA) to the craniovertebral junction (CVJ) has recently been considered a safer alternative and less invasive approach than the traditional transoral approach because the complications associated with the latter are avoided or minimized. Here, we present two challenging cases of CVJ pathologies. The first case involved os odontoideum associated with anterior displacement of the occipitocervical junction where the EEA was used, followed by C0-C1-C2 fusion using a posterior approach to decompress the CVJ, and was complicated by rhinorrhea and Candida albicans meningitis. The second case involved basilar invagination with syringomyelia previously treated using a posterior approach, where aggravation of neuropathic symptoms required combined treatment with EEA and occipitocervical fusion of C0-C2-C3-C4, with the postoperative course challenged by operative site infection requiring drainage with debridement and antibiotic therapy. The EEA is an alternative approach for accessing the CVJ in well-selected patients. Knowledge of EEA complications is crucial for the optimal care of patients. |
| first_indexed | 2024-04-09T23:38:01Z |
| format | Article |
| id | doaj.art-1c20d6c9bef34fc7a9ced670ef36eb11 |
| institution | Directory Open Access Journal |
| issn | 2799-8010 |
| language | English |
| last_indexed | 2024-04-09T23:38:01Z |
| publishDate | 2023-01-01 |
| publisher | Yeungnam University College of Medicine, Yeungnam University Institute Medical Science |
| record_format | Article |
| series | Journal of Yeungnam Medical Science |
| spelling | doaj.art-1c20d6c9bef34fc7a9ced670ef36eb112023-03-19T23:41:34ZengYeungnam University College of Medicine, Yeungnam University Institute Medical ScienceJournal of Yeungnam Medical Science2799-80102023-01-014019610110.12701/jyms.2022.002342729The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reportsBaraa Dabboucy0Wissem Lahiani1Damien Bresson2Nouman Aldahak3 Department of Neurosurgery, Faculty of Medicine, Lebanese University, Beirut, Lebanon Department of Neurosurgery, AP-HP, Henri Mondor Hospital, Créteil, France Department of Neurosurgery, AP-HP, Henri Mondor Hospital, Créteil, France Department of Neurosurgery, AP-HP, Henri Mondor Hospital, Créteil, FranceThe endoscopic endonasal approach (EEA) to the craniovertebral junction (CVJ) has recently been considered a safer alternative and less invasive approach than the traditional transoral approach because the complications associated with the latter are avoided or minimized. Here, we present two challenging cases of CVJ pathologies. The first case involved os odontoideum associated with anterior displacement of the occipitocervical junction where the EEA was used, followed by C0-C1-C2 fusion using a posterior approach to decompress the CVJ, and was complicated by rhinorrhea and Candida albicans meningitis. The second case involved basilar invagination with syringomyelia previously treated using a posterior approach, where aggravation of neuropathic symptoms required combined treatment with EEA and occipitocervical fusion of C0-C2-C3-C4, with the postoperative course challenged by operative site infection requiring drainage with debridement and antibiotic therapy. The EEA is an alternative approach for accessing the CVJ in well-selected patients. Knowledge of EEA complications is crucial for the optimal care of patients.http://www.e-jyms.org/upload/pdf/jyms-2022-00234.pdfendoscopymeningitisodontoid processpostoperative complications |
| spellingShingle | Baraa Dabboucy Wissem Lahiani Damien Bresson Nouman Aldahak The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports Journal of Yeungnam Medical Science endoscopy meningitis odontoid process postoperative complications |
| title | The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports |
| title_full | The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports |
| title_fullStr | The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports |
| title_full_unstemmed | The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports |
| title_short | The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports |
| title_sort | endoscopic transnasal approach to the lesions of the craniocervical junction two case reports |
| topic | endoscopy meningitis odontoid process postoperative complications |
| url | http://www.e-jyms.org/upload/pdf/jyms-2022-00234.pdf |
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