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Updated: Nov 13, 2025

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Endoscopic Transnasal Odontoidectomy.

Cesare Zoia1, Daniele Bongetta2,3, Sabino Luzzi1,2

  • 1Neurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Journal of Neurological Surgery. Part B, Skull Base
|March 15, 2021
PubMed
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Endoscopic transnasal odontoidectomy offers a minimally invasive surgical option for ventral craniovertebral junction stenosis. This technique provides direct access to the cervical spine, reducing oropharyngeal impact.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Endoscopic Techniques

Background:

  • Ventral craniovertebral junction stenosis can necessitate odontoidectomy.
  • Endoscopic transnasal approaches are emerging alternatives to traditional transoral surgery.

Purpose of the Study:

  • To present a case of craniovertebral junction stenosis treated with endoscopic transnasal odontoidectomy.
  • To describe the surgical technique and its outcomes.

Main Methods:

  • Case report of a patient with stenosis due to ossified posterior ligament.
  • Detailed step-by-step description of the endoscopic transnasal surgical technique.
  • Review of clinical and radiological records.

Main Results:

Keywords:
craniovertebral junctionendoscopic cervical decompressionendoscopic transnasal surgeryodontoidectomy

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  • The endoscopic transnasal approach provided direct access to the dens and anterior upper cervical spine.
  • The procedure was less invasive to oropharyngeal structures compared to traditional methods.

    • Conclusions:

    • Endoscopic transnasal odontoidectomy is a viable and less invasive surgical option.
    • This technique facilitates direct visualization and access for treating specific craniovertebral junction pathologies.