文章简介

出版社:Acta Otorhinolaryngol Ital.

作   者:Grammatica A, Bonali M, Ruscitti F, Marchioni D, Pinna G, Cunsolo EM, Presutti L

编   号:

年   份:2011    点击量:1138

文章摘要 全文翻译

        The endoscopic endonasal approach is emerging as a feasible alternative to the trans-oral route for the resection of the odontoid process, when the latter produces a compression of the brainstem and cervicomedullary junction. This type of approach has some advantages, such as excellent pre-vertebral exposure of the cranio-vertebral junction in patients with small oral cavities and the possibility to avoid the use of mouth retractors. A typical case of a 24-year-old male patient with a previous diagnosis of type I Arnold-Chiari malformation, suffering from a posterior dislocation of the odontoid process causing severe anterior compression of the brainstem, is presented to stress the potential of this technique. Trans-nasal endoscopic removal of the odontoid process was performed and resolution of the ventral compression of the brainstem was achieved. This report demonstrates that in selected cases, an endoscopic endonasal approach should now be considered an excellent alternative to the traditional trans-oral approach.

        经鼻内窥镜入路是一种可替代经口入路切除齿状突的方法,后者可减压脑干和颈髓交界区。这种方法具有一定的优势,如口腔娇小的患者也可在颅颈交界处获得良好的椎骨前显露,并且可避免使用口腔牵开器。一名24岁的男性患者早期被诊断为I型Arnold-Chiari畸形,齿状突发生后脱位导致脑干前面严重受压,于是采取该手术进行治疗。我们对患者实行经鼻内镜切除齿状突,并实现脑干腹侧受压。这份报告表明,在特定的情况下,经鼻内镜入路应该是替代传统的经口入路的好方法。