Endoscopic approach to the craniocervical junction
by Bashar Abuzayed Dehdashti

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the endonasal approach to the craniocervical junction. With the recent development of the endoscopic endonasal techniques in skullbase surgery, many studies aimed at improving the endoscopic endonasal approaches to the anterior craniovertebral junction were conducted, which also approved the advantages of this technique. In this video, the authors have demonstrated the surgical technique of approaching the craniocervical junction with the use of an endoscope. In experienced hands, this endoscopic approach is greatly advantageous for the management of anterior craniovertebral junction pathologies. Although both endoscopic endonasal approaches and transoral approaches can provide a wide exposure, with large working angles, disadvantages of the endoscopic transoral approach include the risk of bacterial flora contamination and subsequent meningitis, phonation and swallowing dysfunction, upper airway obstruction, etc. On the other hand, the angles of attack in the endoscopic transcervical approach, when centered on the surgical target, are limited. Despite the availability of the endoscopic transnasal, transoral and transcervical approaches, experience has proved that the endoscopic transnasal (endonasal) approach by far is most advantageous.

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