Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients
AbstractMedulla oblongata tumors are uncommon in adults. Controversies about their treatment arise regarding the need for histologic diagnosis in this eloquent area of the brain, weighing benefits of a reliable diagnosis and the potential disadvantages of invasive procedures. As a broader variety o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-01-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00072/full |
| _version_ | 1818318357661745152 |
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| author | Alejandra T Rabadán Alvaro eCampero Diego eHernandez |
| author_facet | Alejandra T Rabadán Alvaro eCampero Diego eHernandez |
| author_sort | Alejandra T Rabadán |
| collection | DOAJ |
| description | AbstractMedulla oblongata tumors are uncommon in adults. Controversies about their treatment arise regarding the need for histologic diagnosis in this eloquent area of the brain, weighing benefits of a reliable diagnosis and the potential disadvantages of invasive procedures. As a broader variety of pathological findings could be found in this localization; the accurate histopathological definition could not only allow an adequate therapy, but also can prevent the disastrous consequences of empiric treatments. There are few publications about their surgical management and all belongs to small retrospective cohorts. In this scenario, we are reporting two patients with exophytic or focal lesions in the inferior half of the medulla, who underwent surgery by suboccipital midline subtonsillar approach. This approach was not specifically described to reach medulla oblongata before, and we found that the lesions produced a mild elevation of the tonsils providing a wide surgical view from the medulla to the foramen of Luchska laterally, and up to the middle cerebellar peduncle, offering a wide and safe access. |
| first_indexed | 2024-12-13T09:51:56Z |
| format | Article |
| id | doaj.art-7e46361aa9794184a087321e7730a05e |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-13T09:51:56Z |
| publishDate | 2016-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-7e46361aa9794184a087321e7730a05e2022-12-21T23:51:54ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2016-01-01210.3389/fsurg.2015.00072172948Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patientsAlejandra T Rabadán0Alvaro eCampero1Diego eHernandez2Institute of Medical Research A Lanari. University of Buenos AiresHospital Padilla.TucumánInstitute of Medical Research A Lanari. University of Buenos AiresAbstractMedulla oblongata tumors are uncommon in adults. Controversies about their treatment arise regarding the need for histologic diagnosis in this eloquent area of the brain, weighing benefits of a reliable diagnosis and the potential disadvantages of invasive procedures. As a broader variety of pathological findings could be found in this localization; the accurate histopathological definition could not only allow an adequate therapy, but also can prevent the disastrous consequences of empiric treatments. There are few publications about their surgical management and all belongs to small retrospective cohorts. In this scenario, we are reporting two patients with exophytic or focal lesions in the inferior half of the medulla, who underwent surgery by suboccipital midline subtonsillar approach. This approach was not specifically described to reach medulla oblongata before, and we found that the lesions produced a mild elevation of the tonsils providing a wide surgical view from the medulla to the foramen of Luchska laterally, and up to the middle cerebellar peduncle, offering a wide and safe access.http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00072/fullMedulla OblongatabrainstemSurgerytumorssubtonsillar approach |
| spellingShingle | Alejandra T Rabadán Alvaro eCampero Diego eHernandez Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients Frontiers in Surgery Medulla Oblongata brainstem Surgery tumors subtonsillar approach |
| title | Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| title_full | Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| title_fullStr | Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| title_full_unstemmed | Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| title_short | Surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| title_sort | surgical application of the suboccipital subtonsillar approach to reach the inferior half of medulla oblongata tumors in adult patients |
| topic | Medulla Oblongata brainstem Surgery tumors subtonsillar approach |
| url | http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00072/full |
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