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Updated: Nov 13, 2025

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Endoscopic Transnasal Odontoidectomy.

Jeffrey J Falco1, C Arturo Solares2, Camilo Reyes1

  • 1Department of Otolaryngology-Head and Neck Surgery, Augusta Universtiy Medical Center, Augusta Georgia, United States.

Journal of Neurological Surgery. Part B, Skull Base
|March 15, 2021
PubMed
Summary
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This video shows an endoscopic transnasal approach to resect the odontoid causing basilar invasion. The minimally invasive technique safely removed the odontoid, relieving patient symptoms and preventing brainstem compression.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Skull Base Surgery

Background:

  • Basilar invasion and platybasia can cause severe neck pain and brainstem compression.
  • Traditional surgical approaches may carry significant risks.
  • Endoscopic techniques offer a minimally invasive alternative.

Purpose of the Study:

  • To demonstrate the endoscopic transnasal approach for odontoid resection in a patient with platybasia and basilar invasion.
  • To review the technical nuances, outcomes, and potential complications of this surgical method.

Main Methods:

  • A video demonstration of the endoscopic transnasal odontoid resection.
  • Preoperative assessment including imaging and patient positioning.
  • Detailed surgical technique, reconstruction, and postoperative follow-up.
Keywords:
anterior skull basebasilar invasionendoscopic surgeryodontoidectomyplatybasia

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Main Results:

  • Successful resection of the odontoid causing basilar invasion.
  • Significant improvement in patient's neck pain.
  • No major intraoperative or postoperative complications, with a minor nasal septal deviation managed later.

Conclusions:

  • The endoscopic transnasal approach is a safe and effective method for odontoid resection in cases of basilar invasion.
  • This technique can successfully decompress the brainstem and alleviate patient symptoms.
  • Careful surgical technique and postoperative management are crucial for optimal outcomes.