Endoscopic endonasal approach to the craniovertebral junction.

Authors :: Halderman AA
Barnett SL
Source :: World journal of otorhinolaryngology - head and neck surgery [World J Otorhinolaryngol Head Neck Surg] 2022 Mar 14; Vol. 8 (1), pp. 16-24. Date of Electronic Publication: 2022 Mar 14 (Print Publication: 2022).
Publication Year :: 2022
Abstract: The surgical approach to lesions of the ventral craniovertebral junction (CVJ) has evolved significantly in the last several years with the advent of endoscopic skull base surgery. Differing pathologies of the CVJ can result in irreducible compression of the cervicomedullary region. The endoscopic endonasal approach lends itself well to this region due to the ventral location, and while there is a steep learning curve, is a safe and effective way to perform decompression of the cervicomedullary region. Herein, we discuss the anatomy of the CVJ, preoperative evaluation and surgical considerations, our surgical approach, complications, and outcomes.<br />Competing Interests: The authors declare no conflicts of interest.<br /> (© 2022 The Authors. World Journal of Otorhinolaryngology ‐ Head and Neck Surgery published by John Wiley & Sons, Ltd on behalf of Chinese Medical Association.)