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Endoscopic Transoral Odontoidectomy for Bullet Extraction: A Case Study.
Sebastian Rescalvo Garduño1, Juan Manuel Salgado Camacho1, Gervith Reyes Soto2
1Neurosurgery, Regional High Specialty Hospital of Ixtapaluca (HRAEI), Mexico City, MEX.
Cureus
|April 11, 2025
Summary
This study shows endoscopic transoral odontoidectomy successfully treated craniovertebral junction trauma from a gunshot wound. The minimally invasive approach decompressed the brainstem and removed the bullet, leading to neurological improvement.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Minimally Invasive Surgery
Background:
- Craniovertebral junction (CVJ) trauma presents complex surgical challenges.
- Gunshot injuries to the CVJ require prompt and effective management for neurological preservation.

