How I do it: Endoscopic endonasal approach for odontoid resection

Area of Science:

• Neurosurgery
• Minimally Invasive Surgery
• Craniovertebral Junction Pathologies

Background:

• The transnasal endoscopic approach for odontoid resection was introduced in 2005.
• This technique has gained acceptance due to demonstrated advantages over the transoral route.

Observation:

• The senior author's surgical technique was presented in a series of 12 patients.
• Detailed planning, complication avoidance strategies, and surgical technique were documented.

Findings:

• Endoscopic endonasal odontoidectomy is an effective procedure.
• The technique is associated with low patient morbidity.

Implications:

• This endoscopic transnasal approach is valuable for treating complex craniovertebral junction pathologies.
• The technique offers significant benefits compared to the transoral route for odontoidectomy.